Organization Active NPI

Kenneth C Dzubey OD PC

  • Optometrist
  • El Paso, TX
National Provider Identifier
1962609685
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3627TG Issued in TX
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

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Dr. Kenneth C Dzubey, ODNPI 1730172206
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3614109-01MedicaidTX

Other names 1

  • Eyecare Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140321001709 TX Part B Supplier - Clinic/Group Practice 5193956803 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.