Unknown Individual – Ophthalmology Physician, NPI 1972593549

Unknown Individual is a healthcare provider. based in Lombard, Illinois. specializing in Ophthalmology Physician. They hold a License No. 036077495 (IL). The NPI Number for Unknown Individual is 1972593549

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972593549
Phone
(630) 426-0505
Address
130 S MAIN ST
Deactivation Date
9 April 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

  • 130, South Main Street, Lombard, DuPage County, Illinois, 60148, United States

    STE 305

    LOMBARD, IL 601482670

    Phone: (630) 426-0505

    Fax: (630) 426-0506

    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.

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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 60148)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1972593549 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
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 metadata exists for Unknown Individual?
The page summarizes Lombard, Illinois for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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