Charles Robert Dale Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10604TG Issued in TX

Practice address

700 4TH St
Blanco, TX 78606-5569

Phone

(830) 554-9332

Fax

(830) 554-9333

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.1 of 100Reported as group

Quality

98.06

Improvement activities

40

Cost

76.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdale@ctec.direct.eyemdemr.com

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.

• Rolling Hills Eye Care PLLC

  • Optometrist
  • Blanco, TX
  • NPI 1720804933
  Medicare reassignment NPD Authorized official
• Balcones Eye Center, PA

  • Ophthalmology Physician
  • San Marcos, TX
  • NPI 1538270285

  Optometrist

  Medicare reassignment NPD
• Oculus Eyewear, LLC

  • Durable Medical Equipment & Medical Supplies
  • San Marcos, TX
  • NPI 1619551272

  Single Specialty

  Medicare reassignment NPD
• Canyon Lake Eye Care PLLC

  • Optometrist
  • New Braunfels, TX
  • NPI 1124600564
  NPD
• Daniel Novak OD PC

  • Optometrist
  • Lincoln, NE
  • NPI 1235729351
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1407586167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CASCADA PKWY",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705527",
            "telephone_number": "253-549-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 4TH ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786065569",
            "telephone_number": "830-554-9332",
            "fax_number": "830-554-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 S Ih 35 Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786665912",
            "country_code": "US",
            "telephone_number": "512-353-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10604TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret McQuiston Boswell
• Justin Box, DVM
• Anaiah Christensen, DC
• Nancy Vernon Cline, RDH
• Debbie L Costa, RN
• Mark Alan Dean, DDS
• Norbert John Dieringer, M.D.
• Doug Becker DDS PC
• Serenity Dawn Drum, LCSW
• Leslie R Dullnig, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.