National Provider Identifier Database

ADVANCED EYECARE ASSOCIATES PC
Optometrist

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.


Contact Information

ADVANCED EYECARE ASSOCIATES PC
18170 DALLAS PKWY
SUITE 402
DALLAS, TX75287-7137
Phone: 972-931-2020
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Pediatrics 152WP0200X
Sports Vision 152WS0006X

* Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE ASSOCIATES PC

NPI Number 1487870309
Legal business name
LBN
ADVANCED EYECARE ASSOCIATES PC
Authorized official DONALD DERRYBERRY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/18/2007
Last updated 04/20/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 4584TG
  • TX Medicaid: 093085101
  • TX Other: 2061598 FIRST HEALTH GROUP #
  • TX Other: 95266 HARRINGTON GROUP #
  • TX Other: 0A3610 MEDICARE PTAN GROUP

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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