Active NPI
Thomas J. Goldstein, O.D.
- Optometrist
- Bandera, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4652TG
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4652TG | TX | MD | Optometrist |
| 1134 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Plus LLC | Optometrist | Current | Accepting new patients |
| Bandera Eye Care PLLC | Optometrist | Current | 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
- Fannin County Hospital Authority (Cedar Creek Nursing and Rehabilitation Center)
- Finding Solutions Counseling Center
- Gladys Franchett, LPC
- Christina Galindo, LPC
- Carmen M Gascot, PT
- Regan Elizabeth Gombert, LCDC-I
- Allan Gratia, D.C.
- Greg Hupp, PH.D., PC
- Susan K Grigsby, RN, MSN, NP-C, CHPN
- Molyne Martinez Hacker, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.