Unknown Individual – Ophthalmology Physician, NPI 1306874722

Unknown Individual is a healthcare provider. based in Cocoa, Florida. specializing in Ophthalmology Physician. They hold a License No. ME0036143 (FL). The NPI Number for Unknown Individual is 1306874722

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306874722
Phone
(321) 383-3937
Address
6725 N Highway 1 Ste A
Deactivation Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217263937
Graduation Year
1976 (50 years ago)
PAC ID
1759347453
Group Practice PAC ID
0840256541
Professional Enrollment ID
I20110211000923
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

Provider Addresses for Unknown Individual

  • 6725 N Highway 1 Ste A

    Cocoa, FL 329274900

    Phone: (321) 383-3937

    Type: Location

  • 6559 N Wickham Rd Ste 101

    Melbourne, FL 329402039

    Phone: (321) 723-3937

    Type: Location

  • 1045, North Courtenay Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    MERRITT ISLAND, FL 329534531

    Phone: (321) 453-3937

    Fax: (321) 452-5404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $2,754.

Total Amount is formed as General ($2,754) + Research ($0) + Ownership ($0) = $2,754.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($468).

Total Amount

$2,754

General + Research + Ownership

Payments

128

Total payment records

General Amount

$2,754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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
J2777Injection, faricimab-svoa, 0.1 mg5,70017$0
68761Closure of tear duct opening using plug1,024217$0
92012Established patient problem focused exam of visual system646273$0
92134Imaging of retina622414$0
99214Established patient office or other outpatient visit, 30-39 minutes532373$0
View full utilization report →

Insurance plans in this area (ZIP 32927)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient1192482
OPHTHALMOLOGYFL95004Injection of allergenic extracts into skin, accessed through the skin66011

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: 0840256541View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1306874722 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Cocoa, Florida because that is what the record indicates for Unknown Individual.
What if Cocoa, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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