Unknown Individual – Ophthalmology Physician, NPI 1275612277

Unknown Individual is a healthcare provider. based in Bremerton, Washington. specializing in Ophthalmology Physician. They hold a License No. 0025209MD00031837 (WA). The NPI Number for Unknown Individual is 1275612277

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275612277
Phone
(360) 377-3703
Address
2655 WHEATON WAY
Deactivation Date
23 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3603773703226
Graduation Year
1990 (36 years ago)
PAC ID
8820985120
Group Practice PAC ID
2062309354
Professional Enrollment ID
I20100921000619
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

  • 2655, Wheaton Way, Sheridan Park, Bremerton, Kitsap County, Washington, 98310, United States

    BREMERTON, WA 983103318

    Phone: (360) 377-3703

    Fax: (360) 377-9469

    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 12 Open Payments records for all available years, with a total value of $605.

Total Amount is formed as General ($605) + Research ($0) + Ownership ($0) = $605.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($369).

Total Amount

$605

General + Research + Ownership

Payments

12

Total payment records

General Amount

$605

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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 system692676$0
92134Imaging of retina430406$0
92133Imaging of optic nerve300265$0
92012Established patient problem focused exam of visual system272191$0
92083Exam of visual field with extended testing189180$0
View full utilization report →

Insurance plans in this area (ZIP 98310)

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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
OPHTHALMOLOGYWA92083Measurement of field of vision during daylight conditions237225
OPHTHALMOLOGYWA92134Diagnostic imaging of retina120113

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: 2062309354View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
O P T O M E T R YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1275612277 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Bremerton, Washington for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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