Active NPI
Amanda Mendiola, O.D.
- Optometrist
- Helotes, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5428TG
- Practice address
- 12030 Bandera Rd
Suite 112
Helotes, TX 78023-4735 - Phone
- (210) 509-9998
- Fax
- (210) 509-4272
- NPI assigned
- Aug 23, 2005
- Last updated
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5428TG | TX | Primary |
Addresses
Primary practice location
12030 Bandera Rd
Suite 112
Helotes, TX 78023-4735
Mailing address
12030 Bandera Rd
Suite 112
Helotes, TX 78023-4735
Phone (210) 509-9998
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
- University of Houston - College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12030 Bandera Rd
Suite 112
Helotes, TX 78023-4736
Phone (210) 509-9998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5428TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendiola-Rubio, PA | Optometrist | Current | Accepting new patients |
| Bandera Eye Goods, PA | Optometrist | Past | Accepting new patients |
Locations
12030 Bandera Rd
Ste 112
Helotes, TX 78023
Phone (210) 509-9998
11631 Bandera Rd
Ste 102
San Antonio, TX 78250
Phone (210) 509-9998
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": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1801889100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12030 BANDERA RD",
"address_2": "SUITE 112",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234735",
"telephone_number": "210-509-9998",
"fax_number": "210-509-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12030 BANDERA RD",
"address_2": "SUITE 112",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234735",
"telephone_number": "210-509-9998",
"fax_number": "210-509-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIOLA",
"first_name": "AMANDA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5428TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helotes, TX
- Jenna Medlock, PT
- Mejia Surgical Assisting, LLC
- Jose Miguel Mejia Jr., CST/CSFA
- Janelle Lynda Mendez
- Mendiola-Rubio, PA (Today's Vision)
- Eduardo Mendoza Jr., PT
- Meraki Living Center
- Blanca Meras
- Patricia Merlos, LPC-ASSOCIATE
- Methodist Healthcare System of San Antonio, LTD., LLP (Methodist ER Helotes, a department of Methodist Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.