Joseph Michael Dollak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5854TG Issued in TX

Practice address

24914 Kuykendahl Rd
Ste D
Tomball, TX 77375-3381

Phone

(281) 516-3111

Fax

(281) 516-3113

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visual Compassion Inc

  • Optometrist
  • Spring, TX
  • NPI 1598001703
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1396701348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24914 KUYKENDAHL RD",
            "address_2": "SUITE D",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753381",
            "telephone_number": "936-499-9664",
            "fax_number": "281-516-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24914 KUYKENDAHL RD",
            "address_2": "STE D",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753381",
            "telephone_number": "281-516-3111",
            "fax_number": "281-516-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLAK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5854TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7013647",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80712Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9042577",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038641902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanh C. Doan, DDS
• Hung Van Doan, L.AC
• Briskoe Dobson
• Andres Doctor
• Amar Dodda, M.D.
• Morgan Dollar, OTD, OTR, CBIS
• Daniel Colton Donley, PA-C
• Thomas A. Donohue, M.D.
• Dave Dorroh, DDS
• Carson Craig Doty, PA-C

• Optometrist in Tomball, TX
• Providers in Tomball, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.