AMANDA MENDIOLA (O.D.) – Optometrist, NPI 1801889100

Optometrist

AMANDA MENDIOLA (O.D.) is a healthcare provider. based in Helotes, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5428TG (TX). The NPI Number for AMANDA MENDIOLA (O.D.) is 1801889100

Main info

Female

29 Years Of Experience

Accepts Medicare Assignment

Name

AMANDA MENDIOLA (O.D.)

NPI

1801889100

Phone

(210) 509-9998

Address

12030 BANDERA RD

Enumeration Date

23 August 2005

Last Update Date

16 November 2016

Doctor Profile

Medical School Name

UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY

Secondary Phone

2105099998

Graduation Year

1997 (29 years ago)

PAC ID

6608816012

Group Practice PAC ID

9436199841

Professional Enrollment ID

I20050505000166

Address ID

TX780234736HE12030RDXX306

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for AMANDA MENDIOLA (O.D.)

12030, Bandera Road, San Antonio, Bexar County, Texas, 78023, United States
SUITE 112
HELOTES, TX 780234735
Phone: (210) 509-9998
Fax: (210) 509-4272
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20050505000166	I	Optometry	TX	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
92014	Established patient complete exam of visual system	64	64	$0

View full utilization report →

Insurance plans in this area (ZIP 78023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9436199841View full group profile