Individual provider Active NPI

Gladdis Thomas Page, O.D.

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1225445158
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8505T Issued in TX
Practice address
312 FM 306
Ste 110
New Braunfels, TX 78130-2556
Phone
(210) 845-0383
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8505T TX Primary

Addresses

Primary practice location

312 FM 306
Ste 110
New Braunfels, TX 78130-2556

Mailing address

1326 Yaupon Loop
New Braunfels, TX 78132-2973
Phone (614) 599-5120

Other names 1

  • Gladdis Thomas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125002788 TX Practitioner - Optometry 0749583714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

20630 State Hwy 46 W
Suite 120
Spring Branch, TX 78070-6855
Phone (830) 980-3306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8505TXMDDentist
8505TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo City Vision Care, LLC Optometrist CurrentSince Dec 5, 2015 Accepting new patients
Eyes of New Braunfels PLLC Optometrist Current Accepting new patients
Local Eyes Optometry PLLC Optometrist CurrentSince Apr 30, 2019 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 21, 2019 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
River City Eyecare Optometrist PastSince Nov 1, 2012 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

508 S Adams St
Fredericksburg, TX 78624
Phone (830) 997-2504

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

1620 Avenue M
#C
Hondo, TX 78861
Phone (830) 741-2634

312 FM 306
Ste 110
New Braunfels, TX 78130
Phone (210) 845-0383

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

315 E Colorado St
Pearsall, TX 78061
Phone (830) 334-8077

9234 N Loop 1604 W
Ste 104
San Antonio, TX 78249
Phone (210) 417-4177

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

20630 State Highway 46 W
Ste 120
Spring Branch, TX 78070
Phone (830) 980-3306

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1225445158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 YAUPON LOOP",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322973",
            "telephone_number": "614-599-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FM 306",
            "address_2": "STE 110",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302556",
            "telephone_number": "210-845-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "GLADDIS",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8505T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLADDIS",
            "last_name": "THOMAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.