Unknown Individual – Ophthalmology Physician, NPI 1992756449

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Ophthalmology Physician. They hold a License No. ME11076 (FL). The NPI Number for Unknown Individual is 1992756449

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992756449
Phone
(239) 335-1944
Address
4101 EVANS AVE
Deactivation Date
24 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8639839105
Graduation Year
1963 (63 years ago)
PAC ID
1052218161
Group Practice PAC ID
0749187847
Professional Enrollment ID
I20101109000925
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

  • Evans Avenue, Downtown Fort Myers River District, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 33901

    Phone: (239) 335-1944

    Fax: (239) 939-1575

    Type: Mailing

  • 4101, Evans Avenue, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 33901

    Phone: (239) 335-1944

    Fax: (239) 939-1575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

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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 patient206185

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: 0749187847View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1992756449 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Fort Myers, Florida as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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