Provider Type Icon

SUNIL GUPTA MD LLC NPI 1588610075


NPI Information

NPI: 1588610075
Provider Name: SUNIL GUPTA MD LLC

Doing Business As: RETINA SPECIALTY INSTITUTE

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D1074377

Address:
5150 N DAVIS HWY
PENSACOLA, FL
ZIP 32503
Phone: (850) 476-6759
Get Directions

SUNIL GUPTA MD LLC is an ophthalmology in Pensacola, FL. The provider is 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. SUNIL GUPTA MD LLC NPI is 1588610075. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Retina Specialty Institute.

The provider's business location address is:

5150 N DAVIS HWY
PENSACOLA, FL
ZIP 32503-030
Phone: (850) 476-6759
Fax: (850) 484-5222

The provider's authorized official is Sunil Gupta .
The authorized official title is Managing Member and has the following contact phone number (850) 476-6759.

The CLIA number assigned to this NPI record is 10D1074377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME66379FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134843OTHERFLORIDABLUE CROSS PROVIDER GROUP
207331062OTHERMISSISSIPPIMEDICAID
3J973MEDICARE PINALABAMA
434843AMEDICARE PINFLORIDA
5267921300MEDICAIDFLORIDA
6529917080MEDICAIDALABAMA
709016091MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.