Derryberry, Donald Dean

Derryberry, Donald Dean is an individual health care provider with primary practice located at 18170 Dallas Pkwy Suite 402, Dallas TX 75287-7137. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Derryberry, Donald Dean can be contacted via phone (972) 931-2020.

Contact Information

Primary practice address
18170 Dallas Pkwy Suite 402 Dallas TX 75287-7137
Phone: (972) 931-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4584TG Texas

Profile Details

NPI number 1194722082
LBN Legal business name Derryberry, Donald Dean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 20th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194722082 NPPES
Texas Other 8F21032 MEDICARE PTAN INDIVIDUAL

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