NPIMap

Organization Active NPI

Specialty Vision Care LLC

  • Ophthalmology Physician
  • Deerfield Beach, FL
National Provider Identifier
1558864272
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SPECIALTY VISION CARE LLC
Practice address
2001 W Sample Rd Ste 420
Deerfield Beach, FL 33064-1341
Phone
(561) 226-4922
Fax
(561) 292-0922
NPI assigned
Mar 9, 2018
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Shailesh K Gupta, MDNPI 1467424382
Title
Owner
Phone
(561) 322-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2001 W Sample Rd Ste 420
Deerfield Beach, FL 33064-1341

Mailing address

2001 W Sample Rd Ste 420
Deerfield Beach, FL 33064-1341
Phone (561) 226-4922

Other practice location 1

7000 Camino Real Ste 210
Boca Raton, FL 33433-5532
Phone (561) 562-2020

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
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

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

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 9

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": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1558864272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE RD STE 420",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641341",
            "telephone_number": "561-226-4922",
            "fax_number": "561-292-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE RD STE 420",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641341",
            "telephone_number": "561-226-4922",
            "fax_number": "561-292-0922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Camino Real Ste 210",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334335532",
            "country_code": "US",
            "telephone_number": "561-562-2020",
            "fax_number": "561-421-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-322-3588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.