Specialty Vision Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SPECIALTY VISION CARE LLC

Practice address

201 N University Dr Ste 106
Plantation, FL 33324-2039

Phone

(561) 322-3588

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 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

Shatina Cannon

Title

Practice Manager

Phone

(561) 322-3588

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Specialty Vision Care LLC

  • Ophthalmologic Surgery Clinic/Center
  • Boynton Beach, FL
  • NPI 1326548942

  O20190128001035

  Same enrollment
• Specialty Vision Care LLC

  • Ophthalmology Physician
  • Deerfield Beach, FL
  • NPI 1558864272

  O20190128001035

  Same enrollment

Practitioners 1

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.

• Shailesh K Gupta, MD

  • Retina Specialist (Ophthalmology) Physician
  • Deerfield Beach, FL
  • NPI 1467424382
  NPD

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1730681305",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "561-322-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "SHATINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-322-3588"
    },
    "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": []
}

• Alyssa Jane Sparhawk, PMHNP
• Daniel Patrick Spasic, MD
• Caitlin M Spaulding, PA-C
• Spechler Health Care Services, Inc.
• Specialty Care RX
• Speech Guy Therapy Services Inc
• Sara Speed, LMHC
• Craig William Speight, MD
• Andrea J Spellman, D.O.
• Peter John Spence, M.D.

• Ophthalmology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.