Basic Information
| Provider Information | |||||||||
| NPI: | 1174801476 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOLBEE | ||||||||
| FirstName: | NATHANIEL | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5401 FM 1626 | ||||||||
| Address2: | STE 110 | ||||||||
| City: | KYLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786406039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122682020 | ||||||||
| FaxNumber: | 5122683096 | ||||||||
| Practice Location | |||||||||
| Address1: | 5401 FM 1626 STE 110 | ||||||||
| Address2: | |||||||||
| City: | KYLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786406039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122682020 | ||||||||
| FaxNumber: | 5122683096 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2011 | ||||||||
| LastUpdateDate: | 05/11/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 7832TG | TX | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.