Alicia Denee Derry, O.D.
NPI #1801999149 in Fort Worth, Texas
Provider Information
- NPI Number
- 1801999149
- Entity Type
- Individual
- Name
- Alicia Denee Derry, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist - Pediatrics
- Credential
- O.D.
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Feb 29, 2012
Practice Location
- Address
- 321 S HENDERSON ST
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-1016
- Phone
- (817) 529-9949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Optometrist - Pediatrics — Pediatrics |
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