Active NPI
Robert G Saldana, OD
- Optometrist
- Cleburne, TX
National Provider Identifier
1568594935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5453TG
- Practice address
- 1665 Woodard Ave
Cleburne, TX 76033-7051 - Phone
- (817) 641-2020
- Fax
- (817) 641-2035
- NPI assigned
- Mar 12, 2007
- Last updated
- Mar 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5453TG | TX | Primary |
| Registered Nurse | 163W00000X | 411086 | CA |
Addresses
Primary practice location
1665 Woodard Ave
Cleburne, TX 76033-7051
Mailing address
1665 Woodard Ave
Cleburne, TX 76033-7051
Phone (817) 641-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163911403 | Medicaid | TX | |
| 81016Q10017FE | Other | TX | BLUE CROSS BLUE SHIELD |
| 42160760 | Other | TX | HEALTH SMART |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5453TG | TX | MD | Optometrist |
| 411086 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amedco Texas LLC | Optometrist | Past | Accepting new patients |
| Upper Valley Eye Site | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1568594935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 WOODARD AVE",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760337051",
"telephone_number": "817-641-2020",
"fax_number": "817-641-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 WOODARD AVE",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760337051",
"telephone_number": "817-641-2020",
"fax_number": "817-641-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALDANA",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5453TG",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "411086",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163911403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81016Q10017FE",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SMART",
"identifier": "42160760",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.