Thomas W. Grabow, M.D.
Individual provider Active NPI Ophthalmology Physician · Hondo, TX
NPI 1902812944 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1902812944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- E4364 (TX)
- Practice address
- 602 31St St
Hondo, TX 78861-3512 - Phone
- (830) 741-3361
- Fax
- (830) 426-8496
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091130000409 | TX | Practitioner - Ophthalmology | 0345389672 | Practice locations: Hondo, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Clinic | Ophthalmology | Past |
Accepting new patients |
| Celeste Acosta, O.D., P.C. | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E4364 | TX | Yes |
Addresses
Primary practice location
602 31St St
Hondo, TX 78861-3512
Mailing address
PO Box 167
Helotes, TX 78023-0167
Phone (210) 382-6217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138677308 | Medicaid | TX |
Other providers in Hondo, TX
- Bailey Renee Fowler
- Marisol Adame Franklin
- G. Betancourt DDS PLLC
- Liborio Garcia Jr.
- Heather Gonzales
- H-E-B, LP
- David Paul Haertner
- Laura Worth Hansen
- Michael Wayne Hanson
- Leslie Laro Hayes
All providers in Hondo, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.