Unknown Individual – Ophthalmology Physician, NPI 1174802771

Unknown Individual is a healthcare provider. based in Knoxville, Tennessee. specializing in Ophthalmology Physician. They hold a License No. MD004060 (TN). The NPI Number for Unknown Individual is 1174802771

Main info

Organization
Inactive
66 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174802771
Phone
(865) 244-2030
Address
1932 ALCOA HWY STE 255
Deactivation Date
14 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8652442020
Graduation Year
1960 (66 years ago)
PAC ID
8628393717
Group Practice PAC ID
0941278709
Professional Enrollment ID
I20150212001092
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1932 ALCOA HWY STE 255

    KNOXVILLE, TN 379201508

    Phone: (865) 244-2030

    Fax: (865) 684-1196

    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 1 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2023-04-04 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

1

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

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
92014Established patient complete exam of visual system4039$0
92012Established patient problem focused exam of visual system2423$0
92004New patient complete exam of visual system1818$0
92133Imaging of optic nerve1212$0
92083Exam of visual field with extended testing1111$0
View full utilization report →

Insurance plans in this area (ZIP 37920)

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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: 0941278709View full group profile
NameSpecialtyState
O P H T H A L M O L O G 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 H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P T O M E T R YKY
O P H T H A L M O L O G YKY

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1174802771 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Knoxville, Tennessee in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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