Organization Active NPI

Dr Robert M Selbert Family Eye Care Center

  • Eyewear Supplier
  • Amsterdam, NY
National Provider Identifier
1760652473
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV0025991 Issued in NY
Legal business name
DR ROBERT M SELBERT FAMILY EYE CARE CENTER
Practice address
93 Guy Park Ave
Amsterdam, NY 12010
Phone
(518) 842-9676
Fax
(518) 842-0120
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Robert Melvin Selbert, ODNPI 1558341503
Title
Owner
Phone
(518) 842-9676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TUV0025991 NY Primary

Addresses

Primary practice location

93 Guy Park Ave
Amsterdam, NY 12010

Mailing address

93 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-9676

National Provider Directory

National Provider Directory

Locations

93 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-5165

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1760652473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-842-9676",
            "fax_number": "518-842-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-842-9676",
            "fax_number": "518-842-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT M SELBERT FAMILY EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SELBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-842-9676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV0025991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.