Provider Demographics
NPI:1760004840
Name:DRIPPING SPRINGS VISION CENTER, PA
Entity Type:Organization
Organization Name:DRIPPING SPRINGS VISION CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-804-2020
Mailing Address - Street 1:750 W HIGHWAY 290
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-3861
Mailing Address - Country:US
Mailing Address - Phone:512-804-2020
Mailing Address - Fax:
Practice Address - Street 1:750 W HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3861
Practice Address - Country:US
Practice Address - Phone:512-804-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty