Unknown Individual – Ophthalmology Physician, NPI 1477520393

Unknown Individual is a healthcare provider. based in Alliance, Ohio. specializing in Ophthalmology Physician. They hold a License No. 35065067L (OH). The NPI Number for Unknown Individual is 1477520393

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477520393
Phone
(330) 823-1680
Address
985 S SAWBURG RD
Deactivation Date
5 June 2025

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
3305331041
Graduation Year
1988 (38 years ago)
PAC ID
6709834435
Group Practice PAC ID
3173571809
Professional Enrollment ID
I20100826000626
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

  • 985, South Sawburg Road, Alliance, Lexington Township, Stark County, Ohio, 44601, United States

    ALLIANCE, OH 446013515

    Phone: (330) 823-1680

    Fax: (330) 823-3831

    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 48 Open Payments records for all available years, with a total value of $3,431.

Total Amount is formed as General ($3,431) + Research ($0) + Ownership ($0) = $3,431.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($2,147).

Total Amount

$3,431

General + Research + Ownership

Payments

48

Total payment records

General Amount

$3,431

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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
99213Established patient office or other outpatient visit, 20-29 minutes717365$0
99214Established patient office or other outpatient visit, 30-39 minutes597416$0
66984Removal of cataract with insertion of prosthetic lens46769$0
92133Imaging of optic nerve330329$0
92020Exam of the internal drainage system of eye327318$0
View full utilization report →

Insurance plans in this area (ZIP 44601)

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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
OPHTHALMOLOGYOH92083Measurement of field of vision during daylight conditions316298
OPHTHALMOLOGYOH92134Diagnostic imaging of retina4843

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: 3173571809View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1477520393 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Alliance, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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