Unknown Individual – Ophthalmology Physician, NPI 1821094418

Unknown Individual is a healthcare provider. based in Sayre, Pennsylvania. specializing in Ophthalmology Physician. They hold a License No. MD0000020254 (TN). The NPI Number for Unknown Individual is 1821094418

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821094418
Phone
(800) 474-4482
Address
1 GUTHRIE SQ
Deactivation Date
31 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9016852200
Graduation Year
1981 (45 years ago)
PAC ID
1759276371
Group Practice PAC ID
2264328723
Professional Enrollment ID
I20110831000572

Contacts

Secure Messaging
mschanzer164726@direct-guthrie.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1 GUTHRIE SQ

    SAYRE, PA 188401625

    Phone: (800) 474-4482

    Fax: (570) 887-3236

    Type: Mailing

  • Poplar Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States

    STE 950

    MEMPHIS, TN 381190604

    Phone: (901) 683-4600

    Fax: (901) 683-8401

    Type: Mailing

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.

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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
92136Measurement of corneal curvature and depth of eye6967$0
92134Imaging of retina4846$0
66984Removal of cataract with insertion of prosthetic lens3725$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
66821Removal of recurring cataract in lens capsule using a laser2920$0
View full utilization report →

Insurance plans in this area (ZIP 18840)

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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
OPHTHALMOLOGYTN92083Measurement of field of vision during daylight conditions2522
OPHTHALMOLOGYTN92134Diagnostic imaging of retina4738

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: 2264328723View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
-TN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1821094418 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Sayre, Pennsylvania for Unknown Individual; download NPPES for the complete set.
What if Sayre, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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