Unknown Individual – Ophthalmology Physician, NPI 1043295512

Unknown Individual is a healthcare provider. based in Bend, Oregon. specializing in Ophthalmology Physician. They hold a License No. DO18068 (OR). The NPI Number for Unknown Individual is 1043295512

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1043295512
Phone
(541) 389-3166
Address
2275 NE DOCTORS DR
Deactivation Date
27 October 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

  • Northeast Doctors Drive, Bend, Deschutes County, Oregon, 97701, United States

    SUITE 6

    BEND, OR 977016324

    Phone: (541) 389-3166

    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

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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 97701)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1043295512 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Bend, Oregon?
If you are local to Bend, Oregon, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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