Unknown Individual – Ophthalmology Physician, NPI 1366497885

Unknown Individual is a healthcare provider. based in Topeka, Kansas. specializing in Ophthalmology Physician. They hold a License No. KS0421329 (KS). The NPI Number for Unknown Individual is 1366497885

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366497885
Phone
(785) 233-0011
Address
6001 SW 6TH AVE
Deactivation Date
25 September 2025

Doctor Profile

Medical School Name
KANSAS MEDICAL COLLEGE
Secondary Phone
7852330011
Graduation Year
1984 (42 years ago)
PAC ID
0042223760
Group Practice PAC ID
8224166848
Professional Enrollment ID
I20100504000030
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

  • 6001, Southwest 6th Avenue, Topeka, Shawnee County, Kansas, 66615, United States

    SUITE 210

    TOPEKA, KS 66615

    Phone: (785) 233-0011

    Fax: (785) 233-1292

    Mailing address matches the actual address.

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 66615)

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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
OPHTHALMOLOGYKS92012Eye and medical examination for diagnosis and treatment, established patient501263
OPHTHALMOLOGYKS92083Measurement of field of vision during daylight conditions157150
OPHTHALMOLOGYKS92134Diagnostic imaging of retina7851

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: 8224166848View full group profile
NameSpecialtyState
-KS

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1366497885 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Ophthalmology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Topeka, Kansas; more addresses can appear in NPPES.
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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