MEDICARE: DR. JUDY RIVERA GANDARA O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	8692TG	TX

General Provider Information

NPI Number	:	1811252794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY RIVERA GANDARA O.D.

Provider Business Mailing Address
First Line	:	3038 QUAKERTOWN DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-3466
Country	:	US
Telephone Number	:	210-996-2008
Fax Number	:	210-996-2009

Provider Business Practice Location Address
First Line	:	1430 AUSTIN HWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4338
Country	:	US
Telephone Number	:	210-996-2008
Fax Number	:	210-996-2009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	07/21/2022

Similar Medicare Providers

1205814365 — DR. CALLIE J MOLLOY O.D.
Practice Location Address:

1430 AUSTIN HWY
SAN ANTONIO, TX
78209-4338

Practice Phone: 210-650-3823
Practice Fax:

1053338210 — WAL-MART STORES TEXAS LLC
Practice Location Address:

1430 AUSTIN HWY
SAN ANTONIO, TX
78209-4338

Practice Phone: 210-637-1888
Practice Fax:

1790886562 — WAL-MART STORES TEXAS, LP
Practice Location Address:

1430 AUSTIN HWY
SAN ANTONIO, TX
78209-4338

Practice Phone: 210-637-1700
Practice Fax:

1619204351 — CHERYL BELMAN RPH
Practice Location Address:

1430 AUSTIN HWY
SAN ANTONIO, TX
78209-4338

Practice Phone: 210-637-1888
Practice Fax: 210-637-1155

1063809622 — STATESERV MEDICAL OF SAN ANTONIO
Practice Location Address:

4338 TEJASCO DRIVE
SAN ANTONIO, TX
78218

Practice Phone: 877-633-7250
Practice Fax:

1588164206 — LETICIA V OCHOA
Practice Location Address:

503 W MAYFIELD BLVD
SAN ANTONIO, TX
78211-4338

Practice Phone: 210-878-6578
Practice Fax:

Directions to “ DR. JUDY RIVERA GANDARA O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.