David Y Shipley, O.D., P.a.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPC002599 Issued in FL

Legal business name

DAVID Y SHIPLEY, O.D., P.A.

Doing business as

Guardian Eyecare Center

Practice address

1500 SE 3Rd CT
Suite 151
Deerfield Beach, FL 33441

Phone

(954) 428-2002

Fax

(954) 427-4614

NPI assigned

Jul 18, 2008

Last updated

Aug 30, 2018By 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

Dr. David Y Shipley, O.D.NPI 1578531091

Title

President

Phone

(954) 428-2002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Guardian Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• David Y Shipley, O.D.

  • Optometrist
  • Deerfield Beach, FL
  • NPI 1578531091
  Medicare reassignment NPD Authorized official
• Vanessa Lucia Gagliano, OD

  • Optometrist
  • Deerfield Beach, FL
  • NPI 1417687674
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1538323530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "954-428-2002",
            "fax_number": "954-427-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE 3RD CT",
            "address_2": "SUITE 151",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-428-2002",
            "fax_number": "954-427-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID Y SHIPLEY, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-428-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC002599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078954201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Joy Daugherty
• Jennifer Daugherty
• Akiva Moshe Daum, M.D.
• Olimpia Hidalgo Davalos
• Rolanda Davenport
• Elizabeth David, LMFT
• Gibrilmatu Davies
• Marcus Phillip Davies
• Amber Davis
• Andrea Davis

• Eyewear Supplier in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.