Advanced Eyecare Associates Pc in Dallas - Pediatrics

Advanced Eyecare Associates Pc - NPI 1487870309

Advanced Eyecare Associates Pc is a Pediatrics in Dallas, Texas. Advanced Eyecare Associates Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Advanced Eyecare Associates Pc is 1487870309. The last update date is 2009-04-20.

Advanced Eyecare Associates Pc's current location address is 18170 Dallas Pkwy, Dallas, Texas. You can contact this provider via phone number 9729312020 and fax number 9724079452. The mailing address for Advanced Eyecare Associates Pc is 18170 Dallas Pkwy, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Advanced Eyecare Associates Pc
Address 18170 Dallas Pkwy, Dallas, Texas
Phone Number 9729312020
Fax Number 9724079452
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Derryberry D Donald
Credentials O.D.
Telephone Number 9729312020

NPI Number Detail

NPI Number 1487870309
Provider Enumeration Date 2007-04-18
Last Updated Date 2009-04-20

Provider Mailing Address Detail

Address 18170 Dallas Pkwy
City Dallas
State Texas (TX)
Post Code 752877137
Phone Number 9729312020
Fax Number 9724079452

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 4584TG
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0A3610 TX MEDICARE PTAN GROUP
2061598 TX FIRST HEALTH GROUP #
95266 TX HARRINGTON GROUP #
93085101 TX --

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FAQs about Advanced Eyecare Associates Pc

What is the Advanced Eyecare Associates Pc's 1487870309?

The Advanced Eyecare Associates Pc's NPI (National Provider Identifier) Number is 1487870309. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Advanced Eyecare Associates Pc is physically located?

The Advanced Eyecare Associates Pc is physically situated at the following address: 18170 Dallas Pkwy, Dallas, TX, 752877137.

What is the Advanced Eyecare Associates Pc's area of specialization and corresponding taxonomy classification?

The Advanced Eyecare Associates Pc's specialty field is Pediatrics, and it falls under the taxonomy code 152Wp0200X, which categorizes healthcare providers based on their specialties.

When did Advanced Eyecare Associates Pc receive its 1487870309 assignment?

The Advanced Eyecare Associates Pc was assigned its 1487870309 on 2007-04-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Advanced Eyecare Associates Pc most recently updated or revised?

The information pertaining to Advanced Eyecare Associates Pc, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-20.

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