Unknown Individual – Ophthalmology Physician, NPI 1134153760

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Ophthalmology Physician. They hold a License No. 036072116 (IL). The NPI Number for Unknown Individual is 1134153760

Main info

Organization
Inactive
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134153760
Phone
(773) 767-4600
Address
PO BOX 388320
Deactivation Date
22 February 2023

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
null (2026 years ago)
PAC ID
3173681251
Professional Enrollment ID
I20081017000382
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

  • PO BOX 388320

    CHICAGO, IL 606388320

    Phone: (773) 767-4600

    Fax: (773) 767-8320

    Type: Mailing

  • DOCTORS FOR VISUAL FREEDOM

    WOODFIELD MALL F207

    SCHAUMBURG, IL 60173

    Phone: (847) 995-9944

    Fax: (847) 995-1558

    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.

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.

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

Insurance plans in this area (ZIP 60638)

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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
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient2312

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1134153760 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Chicago, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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