Unknown Individual – Ophthalmology Physician, NPI 1316943053

Unknown Individual is a healthcare provider. based in Pottsville, Pennsylvania. specializing in Ophthalmology Physician. They hold a License No. MD068733L (PA). The NPI Number for Unknown Individual is 1316943053

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316943053
Phone
(570) 628-4444
Address
201 E LAUREL BLVD
Deactivation Date
25 December 2025

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
8426942947
Professional Enrollment ID
I20040316000762
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

  • Eye Care Center, 201, East Laurel Boulevard, Pottsville, Schuylkill County, Pennsylvania, 17901, United States

    POTTSVILLE, PA 179012534

    Phone: (570) 628-4444

    Fax: (570) 628-3088

    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 23 Open Payments records for all available years, with a total value of $475.

Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($179).

Total Amount

$475

General + Research + Ownership

Payments

23

Total payment records

General Amount

$475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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
92134Imaging of retina4,510946$0
J7999Compounded drug, not otherwise classified3,215327$0
67028Injection of drug into eye3,141352$0
99213Established patient office or other outpatient visit, 20-29 minutes3,043871$0
83861Microfluid analysis of tears2,711612$0
View full utilization report →

Insurance plans in this area (ZIP 17901)

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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
OPHTHALMOLOGYPA92012Eye and medical examination for diagnosis and treatment, established patient422260

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1316943053.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Pottsville, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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