Unknown Individual – Ophthalmology Physician, NPI 1720028129

Unknown Individual is a healthcare provider. based in Maumee, Ohio. specializing in Ophthalmology Physician. They hold a License No. 35036590 (OH). The NPI Number for Unknown Individual is 1720028129

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720028129
Phone
(419) 893-4883
Address
5655 MONCLOVA RD
Deactivation Date
20 September 2023
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

  • Monclova Road, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435371835

    Phone: (419) 893-4883

    Fax: (419) 893-2312

    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 43537)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1720028129?
NPI 1720028129 belongs to Unknown Individual; compare other details if you need extra assurance.
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 kind of doctor is Unknown Individual?
Unknown Individual is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Maumee?
Unknown Individual currently maps to Maumee, Ohio 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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