Provider Demographics
NPI:1710255500
Name:DOLBEE & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:DOLBEE & ASSOCIATES, PLLC
Other - Org Name:TEXAS STATE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOLBEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-586-0792
Mailing Address - Street 1:3014 W WILLIAM CANNON DR APT 1731
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5045
Mailing Address - Country:US
Mailing Address - Phone:512-586-0792
Mailing Address - Fax:512-222-3935
Practice Address - Street 1:5401 FM 1626 STE 110
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6039
Practice Address - Country:US
Practice Address - Phone:512-268-2020
Practice Address - Fax:512-268-3096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7832TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty