Amanda Mendiola, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5428TG Issued in TX

Practice address

12030 Bandera Rd
Suite 112
Helotes, TX 78023-4735

Phone

(210) 509-9998

Fax

(210) 509-4272

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendiola-Rubio, PAGroup PAC ID 9436199841, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mendiola-Rubio, PA

  • Optometrist
  • Helotes, TX
  • NPI 1063588192
  Medicare reassignment Care Compare group NPD
• Bandera Eye Goods, PA

  • Optometrist
  • Bandera, TX
  • NPI 1386712164
  NPD (past)

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": []
}

• Jenna Medlock, PT
• Mejia Surgical Assisting, LLC
• Jose Miguel Mejia Jr., CST/CSFA
• Janelle Lynda Mendez
• Mendiola-Rubio, PA
• Eduardo Mendoza Jr., PT
• Meraki Living Center
• Blanca Meras
• Patricia Merlos, LPC-ASSOCIATE
• Methodist Healthcare System of San Antonio, LTD., LLP

• Optometrist in Helotes, TX
• Providers in Helotes, TX by specialty
• Optometrist in Texas

• 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.

Verify at the official NPI Registry.