Unknown Individual – Ophthalmology Physician, NPI 1306844535

Unknown Individual is a healthcare provider. based in Eugene, Oregon. specializing in Ophthalmology Physician. They hold a License No. MD07600 (OR). The NPI Number for Unknown Individual is 1306844535

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306844535
Phone
(541) 687-2110
Address
1550 OAK ST
Deactivation Date
23 October 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5416872110
Graduation Year
1966 (60 years ago)
PAC ID
5890788483
Group Practice PAC ID
8628061215
Professional Enrollment ID
I20100215000650
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

  • 1550, Oak Street, College Hill, Eugene, Lane County, Oregon, 97401, United States

    STE 5

    EUGENE, OR 974017701

    Phone: (541) 687-2110

    Fax: (541) 484-3883

    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 97401)

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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
OPHTHALMOLOGYOR92012Eye and medical examination for diagnosis and treatment, established patient1212
OPHTHALMOLOGYOR92083Measurement of field of vision during daylight conditions1717

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: 8628061215View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YOR

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 1306844535.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
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.
Is Unknown Individual associated with Eugene?
Public fields place Unknown Individual around Eugene, Oregon. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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