Bandera Eye Care PLLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BANDERA EYE CARE PLLC

Practice address

1136 Main Street
Bandera, TX 78003

Phone

(830) 850-0628

Fax

(830) 850-0346

NPI assigned

Oct 19, 2022

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Goldstein

Title

Office Manager

Phone

(830) 850-0628

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Sandra K. Fortenberry, O.D.

  • Optometrist
  • Temple, TX
  • NPI 1275732935
  Medicare reassignment Care Compare group NPD
• Thomas J. Goldstein, O.D.

  • Optometrist
  • Bandera, TX
  • NPI 1598744005
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1366168445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2491",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032491",
            "telephone_number": "830-850-0628",
            "fax_number": "830-850-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 MAIN STREET",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-850-0628",
            "fax_number": "830-850-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDERA EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-850-0628"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Anderson, MED, LPC, CSC
• Kirsten Brooke Awalt
• Bandera County
• Bandera Drug, LLC
• Bandera Elite Holdings, Inc (Cedar Creek Nursing and Rehabilitation Center)
• Bandera Eye Goods, PA (Bandera Eye Goods)
• Bandera Healthcare and Rehabilitation Center, LLC (Bandera Rehabilitation and Health Care Center)
• Bandera I Enterprises, LLC (Cedar Creek Nursing and Rehabilitation Center)
• Bandera Isd
• Bandera Isd

• Optician in Bandera, TX
• Providers in Bandera, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.