Provider Demographics
NPI:1922134733
Name:DORSEY, DAVID ERIC (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ERIC
Last Name:DORSEY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1302 S GEN MCMULLEN DR
Mailing Address - Street 2:STE. 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-4200
Mailing Address - Country:US
Mailing Address - Phone:210-434-1470
Mailing Address - Fax:210-434-1001
Practice Address - Street 1:1302 S GEN MCMULLEN DR
Practice Address - Street 2:100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-4200
Practice Address - Country:US
Practice Address - Phone:210-434-1470
Practice Address - Fax:210-434-1001
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2013-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX3625TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist