Advanced Eyecare Associates PC
Optometrist in Dallas, Texas
1487870309- Practice location
- 18170 Dallas Pkwy, Suite 402, Dallas, TX 75287-7137
- Phone
- 972-931-2020
- Fax
- —
- Last updated
- April 20, 2009
Advanced Eyecare Associates PC is a healthcare organization based in Dallas, TX. The NPI number for Advanced Eyecare Associates PC is 1487870309 and holds license No. 4584TG (TX). The current practice location address is 18170 Dallas Pkwy, Suite 402, Dallas, TX 75287-7137 and the office can be reached by phone at 972-931-2020. The NPI was assigned on April 18, 2007 and the record was last updated in NPPES on April 20, 2009.
●Provider Profile Details
- NPI Number
- 1487870309
- Provider Name
- Advanced Eyecare Associates PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Donald D Derryberry, OD · Owner · 972-931-2020
- Enumeration Date
- April 18, 2007
- Last Update Date
- April 20, 2009
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 18170 Dallas Pkwy
Suite 402
Dallas, TX 75287-7137 - City
- Dallas
- State
- Texas
- ZIP
- 75287-7137
- Country
- US
- Phone Number
- 972-931-2020
✉Business Mailing Address
- Address
- 18170 Dallas Pkwy
Suite 402
Dallas, TX 75287-7137 - City
- Dallas
- State
- TX
- ZIP
- 75287-7137
- Phone Number
- 972-931-2020
- Fax Number
- 972-407-9452
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist, Corneal and Contact Management 193400000X - Multiple Single Specialty Group | 152WC0802X | No | 4584TG | TX |
| Optometrist, Pediatrics 193400000X - Multiple Single Specialty Group | 152WP0200X | No | 4584TG | TX |
| Optometrist, Sports Vision 193400000X - Multiple Single Specialty Group | 152WS0006X | No | 4584TG | TX |
| Optometrist 193400000X - Multiple Single Specialty Group | 152W00000X | Yes | 4584TG | TX |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Dallas →?Frequently Asked Questions
What is the NPI number of Advanced Eyecare Associates PC?
The NPI number of Advanced Eyecare Associates PC is 1487870309. It was assigned on April 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Advanced Eyecare Associates PC?
Advanced Eyecare Associates PC is registered under the primary taxonomy Optometrist (code 152W00000X) and holds license No. 4584TG (TX).
Where does Advanced Eyecare Associates PC practice?
The practice location is 18170 Dallas Pkwy, Suite 402, Dallas, TX 75287-7137. The office can be reached at 972-931-2020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487870309 directly on the NPPES registry website at npiregistry.cms.hhs.gov.