Unknown Individual – Ophthalmology Physician, NPI 1437120367

Unknown Individual is a healthcare provider. based in Latrobe, Pennsylvania. specializing in Ophthalmology Physician. They hold a License No. MD044158E (PA). The NPI Number for Unknown Individual is 1437120367

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437120367
Phone
(724) 539-1671
Address
1010 LIGONIER ST
Deactivation Date
2 August 2021

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
8144439443
Graduation Year
1987 (39 years ago)
PAC ID
6103914338
Group Practice PAC ID
1658648464
Professional Enrollment ID
I20071121000323
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

  • 1010, Ligonier Street, West Latrobe, Latrobe, Westmoreland County, Pennsylvania, 15650, United States

    LATROBE, PA 156501882

    Phone: (724) 539-1671

    Fax: (724) 539-1654

    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 15650)

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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: 1658648464View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P H T H A L M O L O G YPA
-PA
O P T O M E T R YPA
O P T O M E T R YPA
O P H T H A L M O L O G YOH

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 1437120367.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
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 Latrobe?
Public fields place Unknown Individual around Latrobe, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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