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ADVANCED EYECARE ASSOCIATES PC
NPI 1487870309
Optometrist in Dallas, TX

Active since April 18, 2007
18170 DALLAS PKWY, SUITE 402, DALLAS, TX 75287(972) 931-2020 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Eyecare Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EYECARE ASSOCIATES PC (NPI 1487870309) is a healthcare organization registered as an optometrist in Dallas, Texas and active in the NPI registry since April 2007. The organization lists Donald D Derryberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1487870309
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameADVANCED EYECARE ASSOCIATES PC
Location Address18170 DALLAS PKWY, SUITE 402Dallas, TX 75287-7137
Mailing Address18170 Dallas Pkwy, Suite 402Dallas, TX 75287-7137 · (972) 931-2020 · Fax (972) 407-9452
Phone(972) 931-2020
Organization SubpartNo
Authorized OfficialDonald D DerryberryOwner · (972) 931-2020
Enumeration DateApril 18, 2007
Last NPPES UpdateApril 20, 2009
✔ NPI 1487870309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 4584TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 4584TG (TX)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4584TG (TX)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 4584TG (TX)
18170 DALLAS PKWY, Dallas, TX 75287
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Other Identifiers 5

Medicare UPINU33181TX
Medicaid093085101TX
Other95266TX · Harrington Group #
Other2061598TX · First Health Group #
Other0A3610TX · Medicare Ptan Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Eyecare Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Eyecare Associates PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Derryberry, O.D.
Optometry
NPI 1194722082
18170 DALLAS PKWY SUITE 402
Dallas, TX 75287
(972) 931-2020
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Eyecare Associates PC's NPI number?

The NPI number for Advanced Eyecare Associates PC is 1487870309. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Advanced Eyecare Associates PC located?

Advanced Eyecare Associates PC is located at 18170 Dallas Pkwy Suite 402, Dallas, TX 75287. The listed phone number is (972) 931-2020.

What is Advanced Eyecare Associates PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Advanced Eyecare Associates PC enrolled in Medicare?

Yes. Advanced Eyecare Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Eyecare Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Advanced Eyecare Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Eyecare Associates PC accept?

Health plans from Oscar Insurance Company list Advanced Eyecare Associates PC 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 Advanced Eyecare Associates PC was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.