Active NPI
Matthew Ryan Selby, O.D.
- Optometrist
- El Paso, TX
National Provider Identifier
1932411121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007543
- Practice address
- 1796 N Zaragoza Rd
El Paso, TX 79936-7909 - Phone
- (915) 352-2589
- NPI assigned
- Jul 5, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 007543 | NY | Primary |
Addresses
Primary practice location
1796 N Zaragoza Rd
El Paso, TX 79936-7909
Mailing address
1796 N Zaragoza Rd
El Paso, TX 79936-7909
Phone (915) 352-2589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007543 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473033600000",
"number": "1932411121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1796 N ZARAGOZA RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367909",
"telephone_number": "915-352-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1796 N ZARAGOZA RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367909",
"telephone_number": "915-352-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-05",
"last_updated": "2016-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.