Unknown Individual – Optometrist, NPI 1619948627

Unknown Individual is a healthcare provider. based in Mountain top, Pennsylvania. specializing in Optometrist. They hold a License No. OEG000685 (PA). The NPI Number for Unknown Individual is 1619948627

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619948627
Phone
(570) 474-9136
Address
155 RIDGE CREST DR
Deactivation Date
19 March 2026

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5708230290
Graduation Year
1981 (45 years ago)
PAC ID
3577558022
Group Practice PAC ID
4284976960
Professional Enrollment ID
I20140806002064
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

  • 155 RIDGE CREST DR

    MOUNTAIN TOP, PA 187071536

    Phone: (570) 474-9136

    Type: Mailing

  • Biernacki Eye Associates, 82, South Washington Street, Wilkes-Barre, Luzerne County, Pennsylvania, 18701, United States

    WILKES BARRE, PA 187013029

    Phone: (570) 823-0290

    Fax: (570) 823-8511

    Type: Location

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.

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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
99213Established patient office or other outpatient visit, 20-29 minutes3030$0
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Insurance plans in this area (ZIP 18707)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1619948627 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Mountain Top, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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