Leslie R Dullnig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02285T Issued in TX

Practice address

825 4TH St
Blanco, TX 78606-4913

Phone

(830) 833-5768

Fax

(830) 833-3268

NPI assigned

Apr 5, 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

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• About Eyes, Inc

  • Optometrist
  • San Marcos, TX
  • NPI 1851303267
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1730141532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 4TH ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786064913",
            "telephone_number": "830-833-5768",
            "fax_number": "830-833-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 4TH ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786064913",
            "telephone_number": "830-833-5768",
            "fax_number": "830-833-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLNIG",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02285T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Robert Dale Jr., OD
• Mark Alan Dean, DDS
• Norbert John Dieringer, M.D.
• Doug Becker DDS PC
• Serenity Dawn Drum, LCSW
• Melanie Cora Freeman, LMFT-A
• Genemed Management, LLC
• Patricia J Hayes, RPH
• Healing Arts Community Health Center of Blanco and Canyon Lake LLC
• William Daniel Hogan

• 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 May 23, 2023; 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.