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SPECIALTY RETINA CENTER LLC
NPI 1689807232
Ophthalmology in Deerfield Beach, FL

Active since August 31, 2009CLIA 10D2107599 · Waiver
2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064(561) 322-3588(754) 812-5993 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Specialty Retina Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALTY RETINA CENTER LLC (NPI 1689807232) is a healthcare organization registered as an ophthalmology in Deerfield Beach, Florida and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through January 18, 2028, maintains a secondary practice location in Boca Raton, and lists Shatina M Cannon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689807232
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSPECIALTY RETINA CENTER LLC
Location Address2001 W SAMPLE RD STE 320Deerfield Beach, FL 33064-1342
Mailing Address2001 W Sample Rd Ste 320Deerfield Beach, FL 33064-1342 · (561) 322-3588 · Fax (754) 812-5993
Phone(561) 322-3588
Fax(754) 812-5993
Organization SubpartNo
Authorized OfficialShatina M CannonOffice Manager · (561) 322-3588
Enumeration DateAugust 31, 2009
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1689807232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME 81086
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2001 W SAMPLE RD STE 320, Deerfield Beach, FL 33064
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Secondary Practice Location 1

Location 121301 Powerline Rd Ste 105Boca Raton, FL 33433-2389 · Phone (561) 322-3588 · Fax (754) 812-5993

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2107599

Specialty Retina Center Sport & Orthopedic Center · Deerfield Beach, FL
Active · expires Jan 18, 2028
CLIA Number10D2107599
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDr. Shailesh Gupta
Laboratory Phone(561) 322-3588
Laboratory LocationSpecialty Retina Center Sport & Orthopedic Center2001 W Sample Rd Ste 320 & 322, Deerfield Beach, FL 33064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIMAL SARUP MD
Ophthalmology
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 322-3588
MEIR MOSHEH BAALHANESS M.D.
Ophthalmology (Retina Specialist)
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 322-3588
SHAILESH K GUPTA MD
Ophthalmology (Retina Specialist)
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 322-3588
SPECIALTY VISION CARE LLC
Ophthalmology
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 226-4922
FREDDI ALEXA NEWMAN PA-C
Physician Assistant
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 322-3588
DREW P BAWCOMBE MD
Ophthalmology (Retina Specialist)
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 322-3588
HEATHER SEITH M.D.
Ophthalmology
2001 W SAMPLE RD STE 320
DEERFIELD BEACH, FL 33064
Broward County (561) 322-3588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty Retina Center LLC's NPI number?

The NPI number for Specialty Retina Center LLC is 1689807232. It was assigned to this organization in the NPPES registry on August 31, 2009.

Where is Specialty Retina Center LLC located?

Specialty Retina Center LLC is located at 2001 W Sample Rd Ste 320, Deerfield Beach, FL 33064. The listed phone number is (561) 322-3588.

What is Specialty Retina Center LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Specialty Retina Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2107599) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Specialty Retina Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare list Specialty Retina Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialty Retina Center LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.