KATELYN RICKER
NPI 1043009905
Optometrist in Dallas, TX
About Katelyn Ricker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN RICKER (NPI 1043009905) is an individual optometrist in Dallas, Texas, licensed in Texas (11379TG) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Frisco, and is a graduate of Southern College Of Optometry (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Ricker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katelyn Ricker's NPI number?
The NPI number for Katelyn Ricker is 1043009905. It was assigned to this individual provider in the NPPES registry on May 6, 2025.
Where is Katelyn Ricker located?
Katelyn Ricker practices at 15123 Prestonwood Blvd Ste 120, Dallas, TX 75248. The listed phone number is (214) 253-2000.
What is Katelyn Ricker's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Katelyn Ricker enrolled in Medicare?
Yes. Katelyn Ricker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Katelyn Ricker accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Katelyn Ricker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katelyn Ricker was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katelyn Ricker · NPI 1043009905
Optometrist provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since May 6, 2025.
## Identity
- **NPI:** 1043009905 (Entity type: Individual)
- **Enumerated:** May 6, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 11379TG (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 15123 PRESTONWOOD BLVD STE 120, Dallas, TX 75248-4701
- **Phone:** (214) 253-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Southern College Of Optometry, class of 2025
## Record status
- **NPPES last updated:** July 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1043009905) · Data from the CMS NPPES public registry.