Dr. Gandara & Eye Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

8692TG Issued in TX

Legal business name

DR. GANDARA & EYE ASSOCIATES PLLC

Doing business as

Quality Family Eye Care

Practice address

1430 Austin Hwy
San Antonio, TX 78209

Phone

(210) 996-2008

Fax

(210) 996-2009

NPI assigned

Sep 8, 2017

Last updated

Nov 4, 2022By 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. Judy Rivera Gandara, ODNPI 1811252794

Title

Owner

Phone

(210) 996-2008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quality Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Judy Rivera Gandara, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1811252794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1508384660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18144",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782180144",
            "fax_number": "210-996-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-996-2008",
            "fax_number": "210-996-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GANDARA & EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "GANDARA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-996-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8692TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375965601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.