Unknown Individual – Ophthalmology Physician, NPI 1114983186

Unknown Individual is a healthcare provider. based in Wichita falls, Texas. specializing in Ophthalmology Physician. They hold a License No. G8452 (TX). The NPI Number for Unknown Individual is 1114983186

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1114983186
Phone
(940) 696-2733
Address
4007 SEABURY DR
Deactivation Date
14 February 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9406962733
Graduation Year
1984 (42 years ago)
PAC ID
8224218359
Professional Enrollment ID
I20110207000990
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

  • 4007, Seabury Drive, French Quarter Apartments, Wichita Falls, Wichita County, Texas, 76308, United States

    WICHITA FALLS, TX 763083113

    Phone: (940) 696-2733

    Fax: (940) 696-8792

    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.

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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
92134Imaging of retina603602$0
92014Established patient complete exam of visual system558546$0
92012Established patient problem focused exam of visual system505305$0
92136Measurement of corneal curvature and depth of eye458177$0
68761Closure of tear duct opening using plug360227$0
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Insurance plans in this area (ZIP 76308)

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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
OPHTHALMOLOGYTX92083Measurement of field of vision during daylight conditions113112
OPHTHALMOLOGYTX92134Diagnostic imaging of retina7978

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 1114983186 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 Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Wichita Falls, Texas. Check all listed addresses for suites or satellite offices.
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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