Advanced Eyecare Associates Pc

LBN: Advanced Eyecare Associates Pc
Advanced Eyecare Associates Pc is an health care organization with primary practice located at 18170 Dallas Pkwy Suite 402, Dallas TX 75287-7137. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Advanced Eyecare Associates Pc can be contacted via phone (972) 931-2020, or through Derryberry, Donald D via phone (972) 931-2020.

Contact Information

Primary practice address
18170 Dallas Pkwy Suite 402 Dallas TX 75287-7137
Phone: (972) 931-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derryberry, Donald D Doctor of Optometry (OD)
Phone: (972) 931-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4584TG Texas
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4584TG Texas
Eye and Vision Services Providers / Pediatrics 152WP0200X 4584TG Texas
Eye and Vision Services Providers / Sports Vision 152WS0006X 4584TG Texas

Profile Details

NPI number 1487870309
LBN Legal business name Advanced Eyecare Associates Pc
DBA Doing business as
Authorized official Derryberry, Donald D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Apr 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487870309 NPPES
Texas Other 0A3610 MEDICARE PTAN GROUP
Texas Other 2061598 MEDICARE PTAN GROUP
Texas Other 95266 MEDICARE PTAN GROUP
Texas MEDICAID 093085101 MEDICARE PTAN GROUP

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