Organization Active NPI

Glaucoma Specialists of South Florida PA

  • Ophthalmology Physician
  • Delray Beach, FL
National Provider Identifier
1629388558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME79238 Issued in FL
Legal business name
GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA
Practice address
6298 Linton Blvd Ste 102
Delray Beach, FL 33484-6444
Phone
(561) 479-3884
Fax
(561) 479-3885
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Talya Horowitz Kupin, M.D.NPI 1548332497
Title
President
Phone
(561) 479-3884

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME79238 FL Primary

Addresses

Primary practice location

6298 Linton Blvd Ste 102
Delray Beach, FL 33484-6444

Mailing address

6298 Linton Blvd
Ste 102
Delray Beach, FL 33484-6444
Phone (561) 479-3884

Other identifiers 4

IdentifierTypeStateIssuer
1629388558OtherFLGR NPI
1548332497OtherFLNPI
1629388558OtherFLGROUP NPI
F57421OtherFLUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120001182 FL Part B Supplier - Clinic/Group Practice 9830378918 Receives reassigned benefits from 9 practitioners
Practice locations: Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2274004Glaucoma Specialists of South Florida, PA6298 Linton Blvd BLDG II Ste 102, Delray Beach, FL 33484Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Locations

6298 Linton Blvd
Ste 102
Delray Beach, FL 33484
Phone (561) 479-3384

Interoperability endpoints

  • Direct secure messaging: tkupin@gssflorida.intellechartdirect.net
  • Direct secure messaging: akubal@gssflorida.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 9

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": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629388558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 LINTON BLVD",
            "address_2": "STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846444",
            "telephone_number": "561-479-3884",
            "fax_number": "561-479-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 LINTON BLVD STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846444",
            "telephone_number": "561-479-3884",
            "fax_number": "561-479-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "KUPIN",
        "authorized_official_first_name": "TALYA",
        "authorized_official_middle_name": "HOROWITZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-479-3884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME79238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GR NPI",
            "identifier": "1629388558",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548332497",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1629388558",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F57421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.