Thomas J. Goldstein, O.D.
Individual provider Active NPI Optometrist · Bandera, TX
NPI 1598744005 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1598744005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4652TG (TX)
- Practice address
- 1136 Main St
Bandera, TX 78003-3589 - Phone
- (830) 850-0628
- Fax
- (830) 850-0346
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bandera Eye Care PLLC
Vision Plus LLC
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000043 | TX | Practitioner - Optometry | 2961535166 |
Reassigns benefits to 2 organizations Practice locations: Bandera, TX; San Antonio, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4652TG | TX | MD | Optometrist |
| 1134 | OK | MD | Athletic Trainer |
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
Ste B
San Antonio, TX 78238
Phone (210) 520-6353
6301 NW Loop 410
Ste N1
San Antonio, TX 78238
Phone (210) 520-6353
3331 Wurzbach Rd
San Antonio, TX 78238
Phone (210) 520-6353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4652TG | TX | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1216616-02 | Medicaid | TX |
Other providers in Bandera, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.