Unknown Individual – Ophthalmology Physician, NPI 1407851389

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Ophthalmology Physician. They hold a License No. ME127533 (FL). The NPI Number for Unknown Individual is 1407851389

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407851389
Phone
(813) 908-2020
Address
13904 N DALE MABRY HWY STE 200
Deactivation Date
19 September 2022

Contacts

Secure Messaging
jdoyle271847@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • North Dale Mabry Highway, Mullis City, Tampa, Hillsborough County, Florida, 33688, United States

    TAMPA, FL 336182446

    Phone: (813) 908-2020

    Fax: (813) 908-2133

    Type: Mailing

  • 13904 N Dale Mabry Hwy Ste 200

    Tampa, FL 336182446

    Phone: (813) 908-2020

    Fax: (813) 908-2133

    Type: Location

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 $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2023-02-20 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($141).

Total Amount

$141

General + Research + Ownership

Payments

1

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

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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 33618)

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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
OPHTHALMOLOGYNY92012Eye and medical examination for diagnosis and treatment, established patient2613

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1407851389 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Tampa, Florida may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."