Individual provider Active NPI

Sirtaz Singh Sibia, D.O.

  • Ophthalmology Physician
  • Boynton Beach, FL
National Provider Identifier
1679518195
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS7844 Issued in FL
Practice address
11195 S Jog Rd
Suite 1&2
Boynton Beach, FL 33437-1829
Phone
(561) 752-0075
Fax
(561) 536-4200
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS7844 FL Primary

Addresses

Primary practice location

11195 S Jog Rd
Suite 1&2
Boynton Beach, FL 33437-1829

Mailing address

11195 S Jog Rd Ste 1&2
Boynton Beach, FL 33437-1829
Phone (561) 752-0075

Other practice location 1

6894 Lake Worth Rd Ste 105
Lake Worth, FL 33467-2964
Phone (561) 439-2600

Other identifiers 1

IdentifierTypeStateIssuer
49882OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000079 FL Practitioner - Ophthalmology 2365468410 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Nova Southeastern College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Eye and Plastic Surgery Associates IncGroup PAC ID 9638195787, 8 clinicians
Specialty Retina Center, LLCGroup PAC ID 5294872891, 6 clinicians

Practice addresses (Care Compare)

11195 S Jog Rd
Suite 1And2
Boynton Beach, FL 33437-1829
Phone (561) 752-0075

21644 State Rd
Suite 7
Boca Raton, FL 33428-1899
Phone (561) 488-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7844FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Laser & Vision Institute, Inc Ophthalmology CurrentSince Mar 31, 2026 Accepting new patients

Locations

4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 484-0700

2625 Executive Park Dr
Ste 4
Weston, FL 33331
Phone (954) 484-0742

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ssibia@eyeclinicdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1679518195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD STE 1&2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371829",
            "telephone_number": "561-752-0075",
            "fax_number": "561-536-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD",
            "address_2": "SUITE 1&2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371829",
            "telephone_number": "561-752-0075",
            "fax_number": "561-536-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6894 Lake Worth Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334672964",
            "country_code": "US",
            "telephone_number": "561-439-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBIA",
        "first_name": "SIRTAZ",
        "middle_name": "SINGH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS7844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49882",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.