Unknown Individual – Ophthalmology Physician, NPI 1659390672

Unknown Individual is a healthcare provider. based in Parma, Ohio. specializing in Ophthalmology Physician. They hold a License No. 35045851 (OH). The NPI Number for Unknown Individual is 1659390672

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659390672
Phone
(440) 845-3940
Address
6115 POWERS BLVD
Deactivation Date
20 December 2023

Doctor Profile

Medical School Name
TOLEDO MEDICAL COLLEGE
Secondary Phone
4408862020
Graduation Year
1978 (48 years ago)
PAC ID
9739224429
Group Practice PAC ID
7012056781
Professional Enrollment ID
I20100305000356
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

  • Powers Boulevard, Parma, Cuyahoga County, Ohio, 44129, United States

    PARMA, OH 44129

    Phone: (440) 845-3940

    Fax: (440) 845-1545

    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.

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 44129)

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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: 7012056781View 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

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1659390672; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Parma, Ohio for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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