Individual provider Active NPI

Thomas J. Goldstein, O.D.

  • Optometrist
  • Bandera, TX
National Provider Identifier
1598744005
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4652TG Issued in TX
Practice address
1136 Main St
Bandera, TX 78003-3589
Phone
(830) 850-0628
Fax
(830) 850-0346
NPI assigned
Jan 12, 2006
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4652TG TX Primary
Optometrist 152W00000X 1134 OK

Addresses

Primary practice location

1136 Main St
Bandera, TX 78003-3589

Mailing address

3331 Wurzbach Rd Ste B
San Antonio, TX 78238-5138
Phone (210) 520-6353

Other practice location 1

3331 Wurzbach Rd Ste B
San Antonio, TX 78238-5138
Phone (210) 520-6353

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100809000043 TX Practitioner - Optometry 2961535166 Reassigns benefits to 2 organizations
Practice locations: Bandera, TX; San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bandera Eye Care PLLCGroup PAC ID 1052777950, 2 clinicians
Vision Plus LLCGroup PAC ID 9436574746, 2 clinicians

Practice addresses (Care Compare)

1136 Main St
Bandera, TX 78003-3589
Phone (830) 850-0628

3331 Wurzbach Rd
San Antonio, TX 78238-5138
Phone (210) 520-6353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4652TGTXMDOptometrist
1134OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus LLC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Bandera Eye Care PLLC Optometrist CurrentSince Feb 28, 2023 Accepting new patients

Locations

628 State Highway 16 S
Bandera, TX 78003
Phone (210) 520-6353

3331 Wurzbach Rd
San Antonio, TX 78238
Phone (210) 520-6353

3331 Wurzbach Rd
Ste B
San Antonio, TX 78238
Phone (210) 520-6353

6301 NW Loop 410
Ste N1
San Antonio, TX 78238
Phone (210) 520-6353

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1598744005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 WURZBACH RD STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782385138",
            "telephone_number": "210-520-6353",
            "fax_number": "210-522-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 MAIN ST",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780033589",
            "telephone_number": "830-850-0628",
            "fax_number": "830-850-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 Wurzbach Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782385138",
            "country_code": "US",
            "telephone_number": "210-520-6353",
            "fax_number": "210-522-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4652TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

Verify at the official NPI Registry.