Unknown Individual – Glaucoma Specialist (Ophthalmology) Physician, NPI 1831132588

Glaucoma Specialist (Ophthalmology) Physician

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Glaucoma Specialist (Ophthalmology) Physician. They hold a License No. 35022671 (OH). The NPI Number for Unknown Individual is 1831132588

Main info

Organization

Inactive

69 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1831132588

Phone

(614) 293-8116

Address

700 ACKERMAN RD STE 2120

Deactivation Date

5 December 2024

Doctor Profile

Medical School Name

UNIVERSITY OF MICHIGAN MEDICAL SCHOOL

Secondary Phone

6142938116

Graduation Year

1957 (69 years ago)

PAC ID

5597706366

Group Practice PAC ID

5698671881

Professional Enrollment ID

I20050523000125

Contacts

Secure Messaging

fkapetansky42709@direct.osumc.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness85

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

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Provider Addresses for Unknown Individual

Ackerman Road, Columbus, Sharon, Franklin County, Ohio, 43202, United States
COLUMBUS, OH 432021559
Phone: (614) 293-8116
Fax: (614) 293-3555
Type: Mailing
915, Olentangy River Road, Harrison West, Columbus, Franklin County, Ohio, 43201, United States
5TH FLOOR
COLUMBUS, OH 43212
Phone: (614) 293-8116
Fax: (614) 293-4719
Type: Location

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 43202)

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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: 5698671881View full group profile

Name	Specialty	State
DR. TYLER D OOSTRA (M.D.)	O P H T H A L M O L O G Y	OH
MATTHEW PAUL OHR (MD)	O P H T H A L M O L O G Y	OH
ANDREW J HENDERSHOT (MD)	O P H T H A L M O L O G Y	OH
DR. BARBARA R. MIHALIK (O.D.)	O P T O M E T R Y	OH
DR. AMIT TANDON (MD)	O P H T H A L M O L O G Y	OH
REECE E. BERGSTROM (DO)	O P H T H A L M O L O G Y	OH
DR. COLLEEN M CEBULLA (MD)	O P H T H A L M O L O G Y	OH
NELLI GALOYAN (MD)	O P H T H A L M O L O G Y	NC
HERSH VARMA (MD)	O P H T H A L M O L O G Y	OH
SHELLY GUPTA JAIN (M.D.)	O P H T H A L M O L O G Y	OH