Unknown Individual – Ophthalmology Physician, NPI 1275512386

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Ophthalmology Physician. They hold a License No. ME37283 (FL). The NPI Number for Unknown Individual is 1275512386

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275512386
Phone
(904) 292-2020
Address
3020 HARTLEY RD
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9042922020
Graduation Year
1965 (61 years ago)
PAC ID
1355392929
Group Practice PAC ID
4082764089
Professional Enrollment ID
I20090612000552
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3020, Hartley Road, Plummers, Jacksonville, Duval County, Florida, 32257, United States

    SUITE 190

    JACKSONVILLE, FL 322578231

    Phone: (904) 292-2020

    Fax: (904) 292-2044

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Horizon Therapeutics plc ($71).

Total Amount

$128

General + Research + Ownership

Payments

6

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes179105$0
99214Established patient office or other outpatient visit, 30-39 minutes172161$0
92012Established patient problem focused exam of visual system4233$0
92014Established patient complete exam of visual system3130$0
92133Imaging of optic nerve3028$0
View full utilization report →

Insurance plans in this area (ZIP 32257)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082764089View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YSC
O P T O M E T R YFL
-FL

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1275512386 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Jacksonville, Florida in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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