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ADVANCED EYECARE ASSOCIATES PC NPI 1487870309


NPI Information

NPI: 1487870309
Provider Name: ADVANCED EYECARE ASSOCIATES PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
18170 DALLAS PKWY
SUITE 402
DALLAS, TX
ZIP 75287
Phone: (972) 931-2020
Get Directions

ADVANCED EYECARE ASSOCIATES PC is an optometrist in Dallas, TX. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ADVANCED EYECARE ASSOCIATES PC NPI is 1487870309. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18170 DALLAS PKWY
SUITE 402
DALLAS, TX
ZIP 75287-137
Phone: (972) 931-2020

The provider's authorized official is Donald D Derryberry .
The authorized official title is Owner and has the following contact phone number (972) 931-2020.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 4/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management4584TGTEXASNo
2152WP0200XOptometristPediatrics4584TGTEXASNo
3152WS0006XOptometristSports Vision4584TGTEXASNo
4152W00000XOptometrist4584TGTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U33181MEDICARE UPINTEXAS
2093085101MEDICAIDTEXAS
395266OTHERTEXASHARRINGTON GROUP #
42061598OTHERTEXASFIRST HEALTH GROUP #
50A3610OTHERTEXASMEDICARE PTAN GROUP

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

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