Fant Eye Care – Clinic/Center, NPI 1306194519

Fant Eye Care is a healthcare provider. based in Texarkana, Texas. specializing in Clinic/Center. The NPI Number for Fant Eye Care is 1306194519

Main info

Organization
Name
Fant Eye Care
NPI
1306194519
Phone
(903) 831-5706
Address
2901 RICHMOND RD
Authorized Official
DR. JUAN EVENOR GALDAMEZ OPTOMETRIST/OWNER O.D
Enumeration Date
17 August 2012
Last Update Date
4 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness90
Years active:13State licenses:0Digital endpoints

Provider Addresses for Fant Eye Care

  • 2901 RICHMOND RD

    TEXARKANA, TX 755032125

    Phone: (903) 831-5706

    Fax: (903) 832-4506

    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: 2012-11-09

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20121109000026OClinic/Group PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75503)

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Reviews

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Frequently asked questions

Can I cross-check Fant Eye Care using NPI 1306194519?
NPI 1306194519 belongs to Fant Eye Care; compare other details if you need extra assurance.
Active or inactive — what applies to Fant Eye Care?
You should see Fant Eye Care as active in CMS-hosted NPPES data.
What expertise is attributed to Fant Eye Care?
Fant Eye Care's specialty line reads Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Fant Eye Care located near Texarkana?
Fant Eye Care currently maps to Texarkana, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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