Active NPI
Eric Marshal Selander, O.D.
- Optometrist
- Maryville, TN
National Provider Identifier
1841382074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD-T2529
- Practice address
- 800 Watkins Rd
Maryville, TN 37801-4597 - Phone
- (865) 983-1341
- Fax
- (865) 982-1590
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD-T2529 | TN | Primary |
Addresses
Primary practice location
800 Watkins Rd
Maryville, TN 37801-4597
Mailing address
800 Watkins Rd
Maryville, TN 37801-4597
Phone (865) 983-1341
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3946442 | Medicaid | TN | |
| 4103696 | Other | TN | BCBS OF TN |
| 27756 | Other | TN | SPECTERA |
| 34569 | Other | TN | AVESIS |
| 6446864 | Other | TN | CIGNA |
| 52645 | Other | TN | DAVIS VISION |
| 442201 | Other | TN | NATIONAL VISION ADMINISTR |
| P00279700 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041029000903 | TN | Practitioner - Optometry | 3274595459 | Practice locations: Athens, TN; Maryville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD-T2529 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1841382074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WATKINS RD",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014597",
"telephone_number": "865-983-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WATKINS RD",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014597",
"telephone_number": "865-983-1341",
"fax_number": "865-982-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELANDER",
"first_name": "ERIC",
"middle_name": "MARSHAL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD-T2529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3946442",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4103696",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "27756",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "34569",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6446864",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "52645",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ADMINISTR",
"identifier": "442201",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00279700",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.