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ALICIA DENEE DERRY O.D.
NPI 1801999149
Optometrist - Pediatrics in Fort Worth, TX

Active since September 05, 2006PECOS Enrolled
321 S HENDERSON ST, FORT WORTH, TX 76104(817) 529-9949 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alicia Denee Derry O.d. NPPES

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

ALICIA DENEE DERRY O.D. (NPI 1801999149) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (7336TG) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801999149
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameALICIA DENEE DERRYCredential: O.D.
Location Address321 S HENDERSON STFort Worth, TX 76104-1016
Mailing Address321 S Henderson StFort Worth, TX 76104-1016 · (817) 529-9949
Phone(817) 529-9949
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1801999149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in TX · 7336TG
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometristTaxonomy 152W00000X · License 046.009254 (IL)
321 S HENDERSON ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Denee Derry O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Derry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Eye Specialists LLP
Same address
Ophthalmology
321 S HENDERSON ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1760507149 (817) 529-9949

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL GRIFFIN HUNT MD
Ophthalmology
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
VASANTHA KUMARI KANUKUNTLA OD
Optometrist
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
ALAN ANDREW NORMAN MD
Ophthalmology
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
ERIC ALAN PACKWOOD MD
Ophthalmology
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
DAVID F SKANCHY
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
PEDIATRIC EYE SPECIALISTS LLP
Ophthalmology
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
BRITTANY NICOLE WOODARD
Nurse Practitioner (Pediatrics)
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949
RUPA NAYEE CO
Technician/Technologist (Orthoptist)
321 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 529-9949

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 Alicia Derry's NPI number?

The NPI number for Alicia Derry is 1801999149. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Alicia Derry located?

Alicia Derry practices at 321 S Henderson St, Fort Worth, TX 76104. The listed phone number is (817) 529-9949.

What is Alicia Derry's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Alicia Derry enrolled in Medicare?

Yes. Alicia Derry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Derry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Derry reassigns Medicare benefits to Pediatric Eye Specialists LLP (Fort Worth, TX). The 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 Alicia Derry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Derry accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Alicia Derry 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 Alicia Derry was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.