NPIMap

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
Last updated
Feb 20, 2018By the provider in NPPES
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

21301 Powerline Rd
Ste 105
Boca Raton, FL 33433
Phone (561) 322-3588

2001 W Sample Rd
Ste 320
Deerfield Beach, FL 33064
Phone (561) 322-3588

2001 W Sample Rd
Ste 420
Deerfield Beach, FL 33064

2905 N Military Trl
Ste G
West Palm Beach, FL 33409
Phone (561) 684-5548

Practitioners & affiliated clinicians

Practitioners 10

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.

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.