Unknown Individual – Ophthalmology Physician, NPI 1053319731

Unknown Individual is a healthcare provider. based in Albany, Georgia. specializing in Ophthalmology Physician. They hold a License No. 040367 (GA). The NPI Number for Unknown Individual is 1053319731

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053319731
Phone
(229) 439-7700
Address
PO BOX 71445
Deactivation Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
0244330165
Professional Enrollment ID
I20070706000520
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

  • PO BOX 71445

    ALBANY, GA 317081445

    Phone: (229) 439-7700

    Fax: (229) 439-7283

    Type: Mailing

  • 806, North Jefferson Street, Albany, Dougherty County, Georgia, 31701, United States

    ALBANY, GA 317012363

    Phone: (229) 439-7700

    Fax: (229) 439-7283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-12-01 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$30
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
92014Established patient complete exam of visual system170113$0
92012Established patient problem focused exam of visual system8861$0
92004New patient complete exam of visual system1515$0
92250Photography of the retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 31708)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1053319731 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Albany, Georgia for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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