Organization Active NPI

Dr. Gupta, Eye M.D., LLC

  • Ophthalmology Physician
  • Sheffield Village, OH
National Provider Identifier
1962690305
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DR. GUPTA, EYE M.D., LLC
Practice address
5319 Hoag Dr
Sutie 260
Sheffield Village, OH 44035-1494
Phone
(440) 260-0404
NPI assigned
Oct 11, 2007
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Ajay K. Gupta, M.D.
Title
Member
Phone
(440) 260-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

5319 Hoag Dr
Sutie 260
Sheffield Village, OH 44035-1494

Mailing address

7255 Old Oak Blvd.
C411
Middleburg HTS., OH 44130
Phone (440) 260-0404

National Provider Directory

National Provider Directory

Locations

18660 Bagley Rd
Ste 405B
Middleburg Heights, OH 44130
Phone (440) 260-0400

5319 Hoag Dr
Ste 260
Sheffield Village, OH 44035
Phone (440) 930-6030

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1962690305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD.",
            "address_2": "C411",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-260-0404",
            "fax_number": "440-260-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUTIE 260",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-260-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GUPTA, EYE M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-260-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.