Derry, Alicia Denee

Derry, Alicia Denee is an individual health care provider with primary practice located at 321 S Henderson St , Fort Worth TX 76104-1016. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Derry, Alicia Denee can be contacted via phone (817) 529-9949.

Contact Information

Primary practice address
321 S Henderson St Fort Worth TX 76104-1016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.009254 Illinois
Eye and Vision Services Providers / Pediatrics 152WP0200X 7336TG Texas

Profile Details

NPI number 1801999149
LBN Legal business name Derry, Alicia Denee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Feb 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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