IndividualActive
Charles Dale, OD
NPI 1407586167 · Optometrist · Blanco, TX
Provider details
- NPI number
- 1407586167
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10604TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
700 4th St
Blanco, TX 78606-5569
Phone: (830) 554-9332
Fax: (830) 554-9333
Approximate (ZIP-level) locationGet directions
Mailing address
2325 Cascada Pkwy
Spring Branch, TX 78070-5527
Additional practice locations (1)
- 2430 S Ih 35 Ste 106San Marcos, TX 78666-5912Phone: (512) 353-1300
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.