Individual provider Active NPI

Richard E Selser Jr., MD

  • Ophthalmology Physician
  • Mansfield, OH
National Provider Identifier
1194778126
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35088308 Issued in OH
Practice address
466 S Trimble Rd
Mansfield, OH 44906-3416
Phone
(419) 756-8000
Fax
(419) 756-7100
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35088308 OH Primary

Addresses

Primary practice location

466 S Trimble Rd
Mansfield, OH 44906-3416

Mailing address

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rselser@ohioeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000156 OH Practitioner - Ophthalmology 7113931502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35088308OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Eye Surgeons, Inc Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
Ohio Eye Optometric, LLC PastSince Nov 30, 2012 Accepting new patients

Locations

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

466 S Trimble Rd
Ste B
Mansfield, OH 44906
Phone (419) 756-8000

Interoperability endpoints

  • Direct secure messaging: rselser@ohioeye.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1194778126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELSER",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35088308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rselser@ohioeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "466 S Trimble Rd",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.