Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA DENEE DERRY, O.D.
ActiveALICIA DENEE DERRY, O.D. is a Pediatric Optometrist healthcare provider located in FORT WORTH, Texas. NPI 1801999149 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · FORT WORTH, TX
Registration Details
- NPI Number
- 1801999149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2006 (19.954058022457 yrs)
- Last Updated
- Feb 29, 2012
- Licenses
-
046.009254 (IL)7336TG (TX)
Practice Information
- Address
-
321 S HENDERSON STFORT WORTH, TX, 761041016Browse TX providers · Browse ZIP 76104
- Phone
- 8175299949
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Pediatric Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.