IndividualActive
Alicia Derry, O.D.
NPI 1801999149 · Pediatric Optometrist · Fort Worth, TX
Provider details
- NPI number
- 1801999149
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 046.009254 (IL)
Mailing address
321 S Henderson St
Fort Worth, TX 76104-1016
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2012-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.