Unknown Individual – Ophthalmology Physician, NPI 1477556207

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Ophthalmology Physician. They hold a License No. 23970 (MN). The NPI Number for Unknown Individual is 1477556207

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477556207
Phone
(612) 338-4861
Address
825 NICOLLET MALL
Deactivation Date
7 August 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

  • Nicollet Mall, South 5th Street, Minneapolis, Hennepin County, Minnesota, 55415, United States of America

    STE 2000

    MINNEAPOLIS, MN 554022708

    Phone: (612) 338-4861

    Fax: (612) 333-8306

    Type: Mailing

  • Stinson Blvd, East Hennepin Avenue, Minneapolis, Hennepin County, Minnesota, 55413, United States of America

    SUITE 100

    MINNEAPOLIS, MN 554213488

    Phone: (612) 788-1621

    Fax: (612) 788-8079

    Type: Location

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 55402)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMN92012Eye and medical examination for diagnosis and treatment, established patient333179
OPHTHALMOLOGYMN92083Measurement of field of vision during daylight conditions157119

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1477556207 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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