Dale Souleyrette is a Elizabethtown, Kentucky based male Optometrist with 36 years of experience in Optometry. He completed his graduation from Other in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dale Souleyrette is 1141DT for Optometry in Kentucky. Dale Souleyrette examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dale Souleyrette speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
36+ years
Medical School Attended:
Other
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1709 N Dixie Ave Ste 101, Elizabethtown, Kentucky, 42701-9496
Phone:
270-765-2020
Fax:
502-765-4482
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7517018989
Enrollment ID:
I20090624000512
NPI Number:
1205991791
NPI Enumeration Date:
26 Dec, 2006
NPI Last Update On:
05 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dale Souleyrette are as mentioned below.
License Number
Specialization
State
Status
1141DT
Optometry
Kentucky
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dale Souleyrette has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ky Doctors Of Optometry Pllc (0941108732)
51
Other Medical Identifiers:
Other legacy medical identifiers associated with Dale Souleyrette such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
77011419
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11103 West Ave, Suite 6 San Antonio, Texas
Zip:
78213-1370
Phone Number:
210-524-6663
Fax Number:
210-524-6587
Patients can reach Dale Souleyrette at 1709 N Dixie Ave Ste 101, Elizabethtown, Kentucky or can call to book an appointment on 270-765-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Dr. Britt Austin Borders, OD 6+ yr exp.Speciality: Corneal and Contact Management Optometrist Address: 611 W Poplar St Ste C4a, KY Phone: 270-765-3937 Fax: 270-765-6658