Bandera Eye Goods, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5452T Issued in TX

Legal business name

BANDERA EYE GOODS, PA

Doing business as

Bandera Eye Goods

Practice address

264 Highway 16 South
Bandera, TX 78003-3897

Phone

(830) 796-7798

Fax

(830) 796-9937

NPI assigned

Dec 1, 2006

Last updated

Aug 22, 2020By 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

Dr. Sabrina L Rubio, O.D.NPI 1316939663

Title

Owner

Phone

(830) 796-9985

Specialties & licenses 1

Addresses

Other names 1

• Bandera Eye Goods Doing business as

Locations

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.

• Sabrina Lee Rubio, O.D.

  • Optometrist
  • Helotes, TX
  • NPI 1316939663
  NPD (past) Authorized official
• Amanda Mendiola, O.D.

  • Optometrist
  • Helotes, TX
  • NPI 1801889100
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386712164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 BANDERA RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782506834",
            "telephone_number": "210-509-9998",
            "fax_number": "210-509-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 HIGHWAY 16 SOUTH",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780033897",
            "telephone_number": "830-796-7798",
            "fax_number": "830-796-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDERA EYE GOODS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-796-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5452T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bandera Eye Goods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten Brooke Awalt
• Bandera County
• Bandera Drug, LLC
• Bandera Elite Holdings, Inc (Cedar Creek Nursing and Rehabilitation Center)
• Bandera Eye Care PLLC
• 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
• Bandera SCC LLC (Bandera Nursing & Rehab Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.