Unknown Individual – Ophthalmology Physician, NPI 1710976840

Unknown Individual is a healthcare provider. based in Quincy, Massachusetts. specializing in Ophthalmology Physician. They hold a License No. 25738 (MA). The NPI Number for Unknown Individual is 1710976840

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710976840
Phone
(617) 472-5242
Address
1900 CROWN COLONY DR
Deactivation Date
2 October 2024
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

  • 1900 Crown Colony, 1900, Crown Colony Drive, Crown Colony Office Park, Quincy, Norfolk County, Massachusetts, 02269, United States

    SUITE 301

    QUINCY, MA 021690931

    Phone: (617) 472-5242

    Fax: (617) 770-2975

    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 02169)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1710976840.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Quincy, Massachusetts for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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