Unknown Individual – Ophthalmology Physician, NPI 1720078223

Unknown Individual is a healthcare provider. based in Rock island, Illinois. specializing in Ophthalmology Physician. They hold a License No. 22292 (IA). The NPI Number for Unknown Individual is 1720078223

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720078223
Phone
(309) 788-5524
Address
4600 30TH ST
Deactivation Date
22 February 2023
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

  • 4600, 30th Street, Rock Island, Rock Island County, Illinois, 61201, United States

    ROCK ISLAND, IL 612017038

    Phone: (309) 788-5524

    Fax: (309) 788-9550

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 61201)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1720078223 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Rock Island, Illinois for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1720078223. Always confirm identity and privileges with the practice and licensing boards.

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