Unknown Individual – Ophthalmology Physician, NPI 1306906748

Unknown Individual is a healthcare provider. based in Jenkintown, Pennsylvania. specializing in Ophthalmology Physician. They hold a License No. MD038112L (PA). The NPI Number for Unknown Individual is 1306906748

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306906748
Phone
(215) 576-5090
Address
261 OLD YORK RD
Deactivation Date
23 October 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2155765090
Graduation Year
1981 (45 years ago)
PAC ID
1759352461
Professional Enrollment ID
I20040805000257
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

  • Old York Road, Jenkintown, Montgomery County, Pennsylvania, 19046, United States

    SUITE 520

    JENKINTOWN, PA 190463706

    Phone: (215) 576-5090

    Fax: (215) 886-5480

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes472274$0
92083Exam of visual field with extended testing274244$0
92250Photography of the retina268241$0
92014Established patient complete exam of visual system228170$0
99205New patient office or other outpatient visit, 60-74 minutes2828$0
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Insurance plans in this area (ZIP 19046)

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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 1306906748.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is Unknown Individual registered?
Use Jenkintown, Pennsylvania as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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