Selden Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001454 Issued in PA

Legal business name

SELDEN EYECARE, LLC

Practice address

11931 State Route 85
Suite F
Kittanning, PA 16201

Phone

(724) 543-4293

Fax

(724) 543-0228

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Selden, OD

Title

President

Phone

(724) 543-4293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1689851396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11931 STATE ROUTE 85",
            "address_2": "SUITE F",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "724-543-4293",
            "fax_number": "724-543-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11931 STATE ROUTE 85",
            "address_2": "SUITE F",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "724-543-4293",
            "fax_number": "724-543-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELDEN EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "SELDEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-543-4293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Saxion
• Natalie Rose Scelsi, OTD, OTR/L
• Breanna Nicole Scheller, PH.D., AU.D.
• Tiffany Rachelle Schmidt, LPN
• Bradley Thurlow Schwarz, D.O
• Stephen John Selden, O.D.
• Amy Serene
• Michael Joseph Severino
• Sheree T Shafer, CRNP
• Rachel Michaela Shaffer, MA, NCC, LPC

• Optometrist in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.