Unknown Individual – Retina Specialist (Ophthalmology) Physician, NPI 1639137730

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Retina Specialist (Ophthalmology) Physician. They hold a License No. E4962 (TX). The NPI Number for Unknown Individual is 1639137730

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639137730
Phone
(214) 645-0624
Address
PO BOX 845347
Deactivation Date
15 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752845347

    Phone: (214) 645-0624

    Fax: (214) 645-0078

    Type: Mailing

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907208

    Phone: (214) 645-2020

    Fax: (214) 645-0078

    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 75284)

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Provider's Procedures

Unknown Individual performs procedures in Retina Specialist (Ophthalmology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTX92012Eye and medical examination for diagnosis and treatment, established patient1812

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1639137730 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Dallas, Texas as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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