Unknown Individual – Ophthalmology Physician, NPI 1285666958

Unknown Individual is a healthcare provider. based in Savannah, Georgia. specializing in Ophthalmology Physician. They hold a License No. 053438 (GA). The NPI Number for Unknown Individual is 1285666958

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285666958
Phone
(912) 201-1604
Address
9104 MIDDLEGROUND RD STE 1
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9122011604
Graduation Year
1997 (29 years ago)
PAC ID
3072427699
Group Practice PAC ID
5193639706
Professional Enrollment ID
I20031120000174
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 9104 MIDDLEGROUND RD STE 1

    SAVANNAH, GA 314069945

    Phone: (912) 201-1604

    Fax: (912) 201-1608

    Type: Mailing

  • 21 N Zetterower Ave

    Statesboro, GA 304587142

    Phone: (912) 764-6357

    Fax: (912) 201-1608

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: ABBVIE INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$17
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
92012Established patient problem focused exam of visual system267132$0
92014Established patient complete exam of visual system176170$0
92133Imaging of optic nerve143137$0
92083Exam of visual field with extended testing139135$0
92020Exam of the internal drainage system of eye137132$0
View full utilization report →

Insurance plans in this area (ZIP 31406)

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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
OPHTHALMOLOGYGA92083Measurement of field of vision during daylight conditions261253
OPHTHALMOLOGYGA92134Diagnostic imaging of retina6557

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1285666958.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Savannah, Georgia in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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