Unknown Individual – Ophthalmology Physician, NPI 1629055645

Unknown Individual is a healthcare provider. based in Akron, Ohio. specializing in Ophthalmology Physician. They hold a License No. 35035797B (OH). The NPI Number for Unknown Individual is 1629055645

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629055645
Phone
(330) 535-8000
Address
215 WEST BOWERY ST LEVEL II
Deactivation Date
3 March 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1972 (54 years ago)
PAC ID
3274532825
Professional Enrollment ID
I20120316000345
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

Loading map...

Provider Addresses for Unknown Individual

  • West Bowery Street, Downtown, Cascade Valley, Akron, Summit County, Ohio, 44308, United States

    AKRON, OH 443081062

    Phone: (330) 535-8000

    Fax: (330) 535-2121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 44308)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1629055645.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Akron, Ohio in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

JAMES HAROLD BATES (MD)

Ophthalmology Physician
9500 EUCLID AVE
NPI: 1316947492

TODD EDWARD WOODRUFF (M.D.)

Ophthalmology Physician
1, West Firestone Boulevard, Firestone Park, Akron, Summit County, Ohio, 44301, United States
NPI: 1871588863

DR. RICHARD W HERTLE (MD)

Ophthalmology Physician
Akron Children's Hospital, 1, Perkins Square, Downtown Akron, Canal District, Downtown, Akron, Summit County, Ohio, 44308, United States
NPI: 1942274360

SAMUEL A GALLO (MD)

Ophthalmology Physician
6620, Perimeter Drive, Dublin, Ohio, 43016, United States
NPI: 1609801489

DR. WILLIAM R YEAKLEY (MD)

Ophthalmology Physician
Newstead Veterans Park, Village of Akron, Newstead, Erie County, New York, 14001, United States
NPI: 1396764320

SUMMIT OPHTHALMOLOGY INC

Ophthalmology Physician
Newstead Veterans Park, Village of Akron, Newstead, Erie County, New York, 14001, United States
NPI: 1205855236

DR. CHARLES A PETER (MD)

Ophthalmology Physician
Newstead Veterans Park, Village of Akron, Newstead, Erie County, New York, 14001, United States
NPI: 1922027085

DR. ANITA DASH-MODI (MD)

Ophthalmology Physician
Newstead Veterans Park, Village of Akron, Newstead, Erie County, New York, 14001, United States
NPI: 1831118991

DR. JAMES A JR. CANNATTI (MD)

Ophthalmology Physician
Newstead Veterans Park, Village of Akron, Newstead, Erie County, New York, 14001, United States
NPI: 1891714861