Derry, Alicia Denee
Derry, Alicia Denee is an individual health care provider with primary practice located at 321 S Henderson St , Fort Worth TX 76104-1016. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Derry, Alicia Denee can be contacted via phone (817) 529-9949.Contact Information
Primary practice address
321 S Henderson St
Fort Worth TX 76104-1016
Phone: (817) 529-9949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.009254 | Illinois |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 7336TG | Texas |
Profile Details
| NPI number | 1801999149 |
|---|---|
| LBN Legal business name | Derry, Alicia Denee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Feb 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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