Unknown Individual – Ophthalmology Physician, NPI 1265437784

Unknown Individual is a healthcare provider. based in Putnam, Connecticut. specializing in Ophthalmology Physician. They hold a License No. 014069 (CT). The NPI Number for Unknown Individual is 1265437784

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265437784
Phone
(860) 928-0414
Address
5 KENNEDY DR
Deactivation Date
22 January 2026
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

  • 5, Kennedy Drive, Heritage Pines Estates, Putnam, Windham County, Connecticut, 06260, United States

    PUTNAM, CT 062601939

    Phone: (860) 928-0414

    Fax: (860) 928-2239

    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 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: Amgen Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$21
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06260)

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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 1265437784.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Putnam, Connecticut?
If you are local to Putnam, Connecticut, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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