Eye Care Specialists PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE SPECIALISTS PLLC

Practice address

17961 S US Highway 441
Summerfield, FL 34491-8685

Phone

(801) 889-8420

NPI assigned

Jun 26, 2025

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Boyd GublerNPI 1568627305

Title

Manager

Phone

(801) 889-8420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boyd Kelly Gubler, OD

  • Optometrist
  • Summerfield, FL
  • NPI 1568627305
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1184512246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17961 S US HIGHWAY 441",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17961 S US HIGHWAY 441",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918685",
            "telephone_number": "801-889-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "GUBLER",
        "authorized_official_first_name": "BOYD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-889-8420"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.