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Contact Information

ALICIA D DERRY, OD
321 S HENDERSON ST
FORT WORTH, TX76104-1016
 Phone: 817-529-9949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

152WP0200X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALICIA D DERRY · (Female)

NPI Number 1801999149
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/05/2006
Last updated 02/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046.009254
  • TX License # 7336TG
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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