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

Q: 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.

Q: What is Alicia Derry's specialty?

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

Q: 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.

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: August 02, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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