Unknown Individual – Ophthalmology Physician, NPI 1376613737

Unknown Individual is a healthcare provider. based in Bowling green, Kentucky. specializing in Ophthalmology Physician. They hold a License No. 15078 (KY). The NPI Number for Unknown Individual is 1376613737

Main info

Organization
Inactive
64 Years Of Experience
Name
Unknown Individual
NPI
1376613737
Phone
(270) 781-3321
Address
730 FAIRVIEW AVE
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2707450040
Graduation Year
1962 (64 years ago)
PAC ID
3375635246
Professional Enrollment ID
I20070823000048
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

  • 730, Fairview Avenue, Bowling Green, Warren County, Kentucky, 42101, United States

    SUITE B1

    BOWLING GREEN, KY 421012367

    Phone: (270) 781-3321

    Fax: (270) 781-9121

    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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system9392$0
92012Established patient problem focused exam of visual system6242$0
99212Established patient office or other outpatient visit, 10-19 minutes1312$0
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Insurance plans in this area (ZIP 42101)

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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
OPHTHALMOLOGYKY92012Eye and medical examination for diagnosis and treatment, established patient157111
OPHTHALMOLOGYKY92083Measurement of field of vision during daylight conditions1614

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 1376613737.
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 specialty?
The listing groups Unknown Individual with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Bowling Green, Kentucky; 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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