Unknown Individual – Ophthalmology Physician, NPI 1457338824

Unknown Individual is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Ophthalmology Physician. They hold a License No. 4301066743 (MI). The NPI Number for Unknown Individual is 1457338824

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457338824
Phone
(248) 334-4906
Address
1750 S TELEGRAPH RD
Deactivation Date
18 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
6103872015
Professional Enrollment ID
I20050325000215

Contacts

Secure Messaging
jkoh17556@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1750, South Telegraph Road, Bloomfield Hills, Oakland County, Michigan, 48302, United States

    SUITE 303

    BLOOMFIELD HILLS, MI 483020166

    Phone: (248) 334-4906

    Fax: (248) 334-2710

    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.

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

Insurance plans in this area (ZIP 48302)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1457338824.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Bloomfield Hills, Michigan.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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