Unknown Individual – Ophthalmology Physician, NPI 1053544601

Unknown Individual is a healthcare provider. based in Marblehead, Massachusetts. specializing in Ophthalmology Physician. They hold a License No. 32498 (MA). The NPI Number for Unknown Individual is 1053544601

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053544601
Phone
(781) 639-1401
Address
36 WHARF PATH
Deactivation Date
23 April 2026
Data current as of
20 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

  • 35;36;37;38, Wharf Path, Marblehead, Essex County, Massachusetts, 01945, United States

    MARBLEHEAD, MA 019454617

    Phone: (781) 639-1401

    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 01945)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1053544601 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.
Where does public data place Unknown Individual?
The snapshot lists Marblehead, Massachusetts for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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