Unknown Individual – Ophthalmology Physician, NPI 1447253646

Unknown Individual is a healthcare provider. based in Bloomington, Illinois. specializing in Ophthalmology Physician. They hold a License No. 036070094 (IL). The NPI Number for Unknown Individual is 1447253646

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1447253646
Phone
(800) 325-7706
Address
PO BOX 757
Deactivation Date
2 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 757

    BLOOMINGTON, IL 617020757

    Phone: (800) 325-7706

    Fax: (309) 829-8397

    Type: Mailing

  • North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States of America

    STE 103

    GALESBURG, IL 614012897

    Phone: (309) 343-6000

    Fax: (309) 343-9999

    Type: Location

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 61702)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1447253646 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Bloomington, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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