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Contact Information

ADVANCED EYECARE ASSOCIATES PC
18170 DALLAS PKWY
SUITE 402
DALLAS, TX75287-7137
 Phone: 972-931-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCED EYECARE ASSOCIATES PC

NPI Number 1487870309
LBN Legal business name ADVANCED EYECARE ASSOCIATES PC
Authorized official DONALD DERRYBERRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 04/20/2009 - About 17 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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