Organization Active NPI

Almanza Family Eyecare LLC

  • Optometrist
  • Cibolo, TX
National Provider Identifier
1255723433
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7899 TG Issued in TX
Legal business name
ALMANZA FAMILY EYECARE LLC
Practice address
791 FM 1103
Suite 115
Cibolo, TX 78108-3504
Phone
(210) 659-3937
Fax
(210) 659-1884
NPI assigned
Feb 25, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Jennifer Dale Barondes, ODNPI 1326204041
Title
Owner
Phone
(210) 659-3937

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
Optometrist 152W00000X 7899 TG TX Primary

Addresses

Primary practice location

791 FM 1103
Suite 115
Cibolo, TX 78108-3504

Mailing address

791 FM 1103
Suite 115
Cibolo, TX 78108-3504
Phone (210) 659-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150408002665 TX Part B Supplier - Clinic/Group Practice 6406174192 Receives reassigned benefits from 2 practitioners
Practice locations: Cibolo, TX

National Provider Directory

National Provider Directory

Locations

791 FM 1103
Ste 115
Cibolo, TX 78108
Phone (210) 659-3937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1255723433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FM 1103",
            "address_2": "SUITE 115",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083504",
            "telephone_number": "210-659-3937",
            "fax_number": "210-659-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FM 1103",
            "address_2": "SUITE 115",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083504",
            "telephone_number": "210-659-3937",
            "fax_number": "210-659-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMANZA FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BARONDES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-659-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7899 TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.