Advanced Eyecare Associates PC
NPI 1487870309ActiveOrganization· Optometrist· Dallas, TX
Optometrist in Dallas, Texas, registered in NPPES in April 2007. The authorized official on file is Donald D. Derryberry, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487870309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2007 |
| Last updated in NPPES | Apr 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4584TG | TX |
| Optometrist, Corneal and Contact Management | 152WC0802X | 4584TG | TX |
| Optometrist, Pediatrics | 152WP0200X | 4584TG | TX |
| Optometrist, Sports Vision | 152WS0006X | 4584TG | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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