ALICIA DENEE DERRY O.D. NPI 1801999149

NPI Information

NPI: 1801999149
Provider Name: ALICIA DENEE DERRY, O.D.
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
321 S HENDERSON ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 529-9949
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Alicia Denee Derry, O.D. is a pediatrics optometrist in Fort Worth, TX. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. Alicia Denee Derry, O.D. NPI is 1801999149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

321 S HENDERSON ST
FORT WORTH, TX
ZIP 76104-016
Phone: (817) 529-9949

The enumeration date for this NPI number is 9/5/2006 and was last updated on 2/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		046.009254	ILLINOIS	No
2	152WP0200X	Optometrist	Pediatrics	7336TG	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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