Unknown Individual – Optometrist, NPI 1568431831

Unknown Individual is a healthcare provider. based in Albany, Oregon. specializing in Optometrist. They hold a License No. 2928ATI (OR). The NPI Number for Unknown Individual is 1568431831

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568431831
Phone
(541) 926-6077
Address
2330 HERITAGE WAY SE
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5419266077
Graduation Year
2003 (23 years ago)
PAC ID
2860423795
Group Practice PAC ID
6901895804
Professional Enrollment ID
I20100601000310
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

  • Heritage Way Southeast, Albany, Linn County, Oregon, 97322, United States

    ALBANY, OR 973228600

    Phone: (541) 926-6077

    Fax: (541) 926-0605

    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 5 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: CooperVision Inc. ($118).

Total Amount

$151

General + Research + Ownership

Payments

5

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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
92014Established patient complete exam of visual system150150$0
99212Established patient office or other outpatient visit, 10-19 minutes4334$0
92083Exam of visual field with extended testing2824$0
99213Established patient office or other outpatient visit, 20-29 minutes2221$0
92133Imaging of optic nerve2121$0
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Insurance plans in this area (ZIP 97322)

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Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOR92083Measurement of field of vision during daylight conditions2823

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: 6901895804View full group profile
NameSpecialtyState
-OR

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1568431831 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Albany, Oregon for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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