Active NPI
Kenneth C Dzubey OD PC
- Optometrist
- El Paso, TX
National Provider Identifier
1962609685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3627TG
- Legal business name
- KENNETH C DZUBEY OD PC
- Practice address
- 5959 Gateway Blvd W Ste 244
El Paso, TX 79925-3316 - Phone
- (915) 779-0676
- Fax
- (915) 779-2534
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth C Dzubey, OD
- Title
- President
- Phone
- (915) 779-0676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3627TG | TX | Primary |
Addresses
Primary practice location
5959 Gateway Blvd W Ste 244
El Paso, TX 79925-3316
Mailing address
PO Box 12211
El Paso, TX 79913-0211
Phone (915) 779-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3614109-01 | Medicaid | TX |
Other names 1
- Eyecare Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6044 Gateway Blvd E
Ste 725
El Paso, TX 79905
5959 Gateway Blvd W
Ste 244
El Paso, TX 79925
Phone (915) 779-0676
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- El Paso, TX
- NPI 1730172206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1962609685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12211",
"city": "EL PASO",
"state": "TX",
"postal_code": "799130211",
"telephone_number": "915-779-0676",
"fax_number": "915-779-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W STE 244",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253316",
"telephone_number": "915-779-0676",
"fax_number": "915-779-2534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH C DZUBEY OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "DZUBEY",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-779-0676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "3627TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3614109-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyecare Associates",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 21, 2026; 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.