Gary Steven Selbert, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TOO2983-1 Issued in NY

Practice address

42 E Main St
Amsterdam, NY 12010-4504

Phone

(518) 842-2480

Fax

(518) 842-3409

NPI assigned

Mar 13, 2007

Last updated

Jan 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1053444950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104504",
            "telephone_number": "518-842-2480",
            "fax_number": "518-842-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104504",
            "telephone_number": "518-842-2480",
            "fax_number": "518-842-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBERT",
        "first_name": "GARY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TOO2983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Schmidt, PHARMD
• Kelli Schuhl, LCSW
• Charles F Schwartz, DO
• Deborah A Sculco, MD
• Sean P. Ryan, MD
• Robert Melvin Selbert, O.D.
• Linda Selby, F.N.P.
• Andrea Sericolo, RPH
• Helen Seward, M.S. CCC SLP
• Nicole K Shea-Scanlan, SLP

• Corneal and Contact Management Optometrist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.