Dollak, Joseph Michael
Dollak, Joseph Michael is an individual health care provider with primary practice located at 24914 Kuykendahl Rd Ste D, Tomball TX 77375-3381. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dollak, Joseph Michael can be contacted via phone (281) 516-3111.Contact Information
Primary practice address
24914 Kuykendahl Rd Ste D
Tomball TX 77375-3381
Phone: (281) 516-3111
Fax: (281) 516-3113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5854TG | Texas |
Profile Details
| NPI number | 1396701348 |
|---|---|
| LBN Legal business name | Dollak, Joseph Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 28th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396701348 | NPPES |
| Texas | Other | 7013647 | AETNA |
| Texas | Other | 80712Q | AETNA |
| Texas | Other | 9042577 | AETNA |
| Texas | MEDICAID | 038641902 | AETNA |
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