Unknown Individual – Ophthalmology Physician, NPI 1659378545

Unknown Individual is a healthcare provider. based in Kokomo, Indiana. specializing in Ophthalmology Physician. They hold a License No. 01028143 (IN). The NPI Number for Unknown Individual is 1659378545

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659378545
Phone
(765) 453-5696
Address
PO BOX 6550
Deactivation Date
3 February 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2604598444
Graduation Year
1978 (48 years ago)
PAC ID
8022102557
Group Practice PAC ID
2961399217
Professional Enrollment ID
I20070914000343
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 6550

    KOKOMO, IN 469046550

    Phone: (765) 453-5696

    Fax: (765) 455-4323

    Type: Mailing

  • 1601, West Lincoln Road, New Maple Crest, Kokomo, Howard County, Indiana, 46902, United States

    KOKOMO, IN 46902

    Phone: (765) 453-5696

    Fax: (765) 455-4323

    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 46904)

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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
OPHTHALMOLOGYIN92012Eye and medical examination for diagnosis and treatment, established patient3631
OPHTHALMOLOGYIN92083Measurement of field of vision during daylight conditions150144

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: 2961399217View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1659378545.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Kokomo, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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