Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 700 4th St, Blanco, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720804933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
700 4th St, Blanco, TX 78606-5569 Ph: (830) 554-9332 | 700 4th St, Blanco, TX 78606-5569 Ph: (253) 549-3074 |
Dr. Charles Robert Dale Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 700 4th St, Blanco, TX 78606 Phone: 830-554-9332 Fax: 830-554-9333 | |
Leslie R Dullnig, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 825 4th St, Blanco, TX 78606 Phone: 830-833-5768 Fax: 830-833-3268 |