Unknown Individual – Ophthalmology Physician, NPI 1073616660

Unknown Individual is a healthcare provider. based in Liberty, Missouri. specializing in Ophthalmology Physician. They hold a License No. R9G63 (MO). The NPI Number for Unknown Individual is 1073616660

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073616660
Phone
(816) 792-1900
Address
1200 LANDMARK AVE
Deactivation Date
15 April 2021
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

  • 1200, Landmark Avenue, Liberty, Clay County, Missouri, 64068, United States

    LIBERTY, MO 640681051

    Phone: (816) 792-1900

    Fax: (816) 792-3548

    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 64068)

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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
OPHTHALMOLOGYMO92083Measurement of field of vision during daylight conditions200195
OPHTHALMOLOGYMO92134Diagnostic imaging of retina136125

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1073616660 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Liberty?
Unknown Individual currently maps to Liberty, Missouri in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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