Unknown Individual – Optometrist, NPI 1699727438

Unknown Individual is a healthcare provider. based in Wausau, Wisconsin. specializing in Optometrist. They hold a License No. 2560 (WI). The NPI Number for Unknown Individual is 1699727438

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699727438
Phone
(715) 848-2020
Address
205 W BRIDGE ST
Deactivation Date
12 March 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
2668484320
Professional Enrollment ID
I20060620000173
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

  • West Bridge Street, Wausau, Marathon County, Wisconsin, 54401, United States of America

    WAUSAU, WI 544013000

    Phone: (715) 848-2020

    Fax: (715) 845-6669

    Type: Mailing

  • 1007, East 1st Street, Merrill, Lincoln County, Wisconsin, 54452, United States

    MERRILL, WI 544522511

    Phone: (715) 536-3250

    Fax: (715) 722-0411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($80).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

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
99214Established patient office or other outpatient visit, 30-39 minutes10097$0
92250Photography of the retina6865$0
92134Imaging of retina5757$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
92133Imaging of optic nerve1916$0
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Insurance plans in this area (ZIP 54401)

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Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWI92083Measurement of field of vision during daylight conditions1311

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1699727438 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Wausau, Wisconsin as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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