Unknown Individual – Ophthalmology Physician, NPI 1033190558

Unknown Individual is a healthcare provider. based in Longview, Washington. specializing in Ophthalmology Physician. They hold a License No. MD10713 (OR). The NPI Number for Unknown Individual is 1033190558

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033190558
Phone
Not provided
Address
600 TRIANGLE CTR
Deactivation Date
1 March 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3602542323
Graduation Year
1976 (50 years ago)
PAC ID
3476539180
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20091223000437
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • AutoZone, 600, Triangle Shopping Center, Longview, Cowlitz County, Washington, 98632, United States

    SUITE 400

    LONGVIEW, WA 986324667

    Phone:

    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 98632)

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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
OPHTHALMOLOGYWA92012Eye and medical examination for diagnosis and treatment, established patient284226
OPHTHALMOLOGYWA92083Measurement of field of vision during daylight conditions2828
OPHTHALMOLOGYWA92134Diagnostic imaging of retina5050

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: 4880760107View full group profile
NameSpecialtyState
DR. SHARON SARAH GREEN GORINI (MD)
-OR
GREGORY HALL (MD)
Diagnostic RadiologyTN
ALLISON REBECCA LOH (M.D.)
-OR
SARAH KUPPENBENDER KONG (FNP-C)
Nurse PractitionerOR
STEVEN LLOYD PRIMACK (MD)
-OR
MICHAEL RAY POWERS (MD)
-OR
DR. JULIA CELESTE SWANSON (M.D.)
General Surgery, Thoracic SurgeryWA
RICHARD X. GIL (M.D.)
-OR
JOHN CARL MORRISON (MD)
-OR
CHELSEA PYLE
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1033190558.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Longview, Washington?
For routing, start with Longview, Washington for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.