Unknown Individual – Ophthalmology Physician, NPI 1306935440

Unknown Individual is a healthcare provider. based in Abilene, Texas. specializing in Ophthalmology Physician. They hold a License No. N5743 (TX). The NPI Number for Unknown Individual is 1306935440

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306935440
Phone
(325) 673-9806
Address
5441 HEALTH CENTER DR
Deactivation Date
28 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
3256739806
Graduation Year
2004 (22 years ago)
PAC ID
2860563244
Group Practice PAC ID
4587648407
Professional Enrollment ID
I20100707000415
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5441, Health Center Drive, Abilene, Taylor County, Texas, 79606, United States

    ABILENE, TX 796066884

    Phone: (325) 673-9806

    Fax: (325) 676-9809

    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 79606)

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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
OPHTHALMOLOGYTX92012Eye and medical examination for diagnosis and treatment, established patient161105
OPHTHALMOLOGYTX92134Diagnostic imaging of retina998572

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: 4587648407View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1306935440.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Abilene, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.