Organization Active NPI

Specialty Vision Care LLC

  • Ophthalmologic Surgery Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1326548942
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
SPECIALTY VISION CARE LLC
Practice address
9851 S Military TRL Ste B
Boynton Beach, FL 33436-3238
Phone
(561) 742-8701
Fax
(561) 742-4212
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Mr. Govind Sanjay Nayar
Title
Associate Healthcare Manager
Phone
(480) 359-8771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

9851 S Military TRL Ste B
Boynton Beach, FL 33436-3238

Mailing address

6280 W Sample Rd Ste 202
Coral Springs, FL 33067-3173
Phone (561) 322-3588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128001035 FL Part B Supplier - Clinic/Group Practice 9032456181 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami, FL; North Miami Beach, FL; Pembroke Pines, FL; Plantation, FL; South Miami, FL; Weston, FL; Boca Raton, FL; Aventura, FL…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9851 S Military Trl
Ste B
Boynton Beach, FL 33436
Phone (561) 742-7801

2001 W Sample Rd
Ste 318
Deerfield Beach, FL 33064

351 NW 42nd Ave
Ste 301
Miami, FL 33126
Phone (305) 643-8871

2801 NE 213th St
Ste 1006
Miami, FL 33180
Phone (305) 945-7433

1190 NW 95th St
Ste 201
Miami, FL 33150
Phone (305) 651-4300

351 NW 42nd Ave
Ste 501
Miami, FL 33126
Phone (305) 631-8300

201 N University Dr
Ste 106
Plantation, FL 33324
Phone (561) 322-3588

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1326548942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 W SAMPLE RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673173",
            "telephone_number": "561-322-3588",
            "fax_number": "561-322-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL STE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363238",
            "telephone_number": "561-742-8701",
            "fax_number": "561-742-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "NAYAR",
        "authorized_official_first_name": "GOVIND",
        "authorized_official_middle_name": "SANJAY",
        "authorized_official_title_or_position": "ASSOCIATE HEALTHCARE MANAGER",
        "authorized_official_telephone_number": "480-359-8771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.