Unknown Individual – Ophthalmology Physician, NPI 1962492579

Unknown Individual is a healthcare provider. based in Fort sam houston, Texas. specializing in Ophthalmology Physician. They hold a License No. 36204 (NC). The NPI Number for Unknown Individual is 1962492579

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962492579
Phone
(210) 916-2460
Address
3851 ROGER BROOKE DR
Deactivation Date
18 November 2022
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

Provider Addresses for Unknown Individual

  • 3851 ROGER BROOKE DR

    MCHE-QD (CREDENTIALS)

    FORT SAM HOUSTON, TX 782344501

    Phone: (210) 916-2460

    Fax: (210) 916-5102

    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 78234)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1962492579.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Fort Sam Houston, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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