Juan Evenor Galdamez, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

8094T Issued in TX

Practice address

2901 Richmond Rd
Texarkana, TX 75503-2125

Phone

(903) 831-5706

Fax

(903) 832-4506

NPI assigned

Aug 15, 2007

Last updated

Jan 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Sky Vision CenterGroup PAC ID 0143471615, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southern Sky Vision Center

  dba Fant Eye Care

  • Clinic/Center
  • Texarkana, TX
  • NPI 1306194519
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1467644229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032125",
            "telephone_number": "903-831-5706",
            "fax_number": "903-832-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032125",
            "telephone_number": "903-831-5706",
            "fax_number": "903-832-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDAMEZ",
        "first_name": "JUAN",
        "middle_name": "EVENOR",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2613",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8094T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1306194519",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1467644229",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Dixon Fuller, CRNA
• G Nevels Transports LLC
• Mark O Gabbie, MD
• Michael Gaertner, D.O.
• Shivani Mangirish Gaitonde, MD
• Christy Lin Gallegos, FNP
• David Galyon, CRNA
• Abigail E Garcia Campbell, COTA
• Paul Richard Gardial, M.D.
• Michael P Garner, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.