Unknown Individual – Ophthalmology Physician, NPI 1669477014

Unknown Individual is a healthcare provider. based in Grand rapids, Michigan. specializing in Ophthalmology Physician. They hold a License No. 4301035258 (MI). The NPI Number for Unknown Individual is 1669477014

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669477014
Phone
(616) 949-2600
Address
750 E BELTLINE AVE NE
Deactivation Date
30 January 2025
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

  • 750, East Beltline Avenue Northeast, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495256049

    Phone: (616) 949-2600

    Fax: (616) 365-2076

    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 49525)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1669477014 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Grand Rapids?
Public fields place Unknown Individual around Grand Rapids, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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