Unknown Individual – Optometrist, NPI 1407827090

Unknown Individual is a healthcare provider. based in Bay city, Michigan. specializing in Optometrist. They hold a License No. 4901002874 (MI). The NPI Number for Unknown Individual is 1407827090

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407827090
Phone
(989) 684-8840
Address
600 S EUCLID AVE
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
9335263896
Professional Enrollment ID
I20100907000081
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

  • 600, South Euclid Avenue, Bangor Township, Bay County, Michigan, 48706, United States

    BAY CITY, MI 487063210

    Phone: (989) 684-8840

    Fax: (989) 684-2536

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-09-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($51).

Total Amount

$91

General + Research + Ownership

Payments

5

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-22

Latest reported date

Top Companies

Largest payers in this snapshot

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 system5844$0
92014Established patient complete exam of visual system4646$0
92134Imaging of retina2320$0
99212Established patient office or other outpatient visit, 10-19 minutes2216$0
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Insurance plans in this area (ZIP 48706)

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Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMI92134Diagnostic imaging of retina6049

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1407827090 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bay City, Michigan in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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