Unknown Individual – Specialist, NPI 1124064837

Unknown Individual is a healthcare provider. based in Corvallis, Oregon. specializing in Specialist. They hold a License No. MD12372 (OR). The NPI Number for Unknown Individual is 1124064837

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124064837
Phone
(541) 752-4622
Address
330 NW ELKS DR
Deactivation Date
27 February 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

Loading map...

Provider Addresses for Unknown Individual

  • Eye Care Associates, 330, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States

    CORVALLIS, OR 973303779

    Phone: (541) 752-4622

    Fax: (541) 754-2955

    Type: Mailing

  • 2715, Willetta Street Southwest, Albany, Linn County, Oregon, 97321, United States

    ALBANY, OR 973213471

    Phone: (541) 926-5848

    Fax: (541) 926-2873

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 97330)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1124064837.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Corvallis, Oregon because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

3521 NW Samaritan Dr Ste 101
NPI: 1184623407
2865, Northwest 29th Street, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1104813393
1867, Northwest Kings Boulevard, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1417938309

DR. MARK A PARRA (MD)

Obstetrics & Gynecology Physician
930 SW Abbey St Ste B
NPI: 1053387431
1013, Northwest Charlemagne Place, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1104889310

DR. BRENT C. WESENBERG (MD)

Emergency Medicine Physician
PO BOX 670
NPI: 1073560876
3521, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1124075627
3521, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States
NPI: 1760423289
3088, 27th Avenue Southeast, Albany, Linn County, Oregon, 97322, United States
NPI: 1699719856