Rolling Hills Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROLLING HILLS EYE CARE PLLC

Doing business as

Rolling Hills Eye Care

Practice address

700 4TH St
Blanco, TX 78606-5569

Phone

(253) 549-3074

NPI assigned

Dec 3, 2024

Last updated

Jan 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Dale Jr., ODNPI 1407586167

Title

Optometrist

Phone

(253) 549-3074

Specialties & licenses 1

Addresses

Other names 1

• Rolling Hills Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Robert Dale Jr., OD

  • Optometrist
  • Blanco, TX
  • NPI 1407586167
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1720804933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 4TH ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786065569",
            "telephone_number": "830-554-9332"
        },
        {
            "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": "253-549-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "253-549-3074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Hills Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rolling Hills Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.