Provider Demographics
NPI:1073888038
Name:DORSEY EYECARE PLLC
Entity Type:Organization
Organization Name:DORSEY EYECARE PLLC
Other - Org Name:GALO EYECARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-464-0119
Mailing Address - Street 1:2112 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4850
Mailing Address - Country:US
Mailing Address - Phone:830-278-2565
Mailing Address - Fax:
Practice Address - Street 1:2112 E MAIN ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4850
Practice Address - Country:US
Practice Address - Phone:830-278-2565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3625TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty