DR. ANGELA ELLIS DERBES O.D. NPI 1629310776

NPI Information

NPI: 1629310776
Provider Name: DR. ANGELA ELLIS DERBES, O.D.
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4735 JOHNSON CREEK LOOP
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 777-9589
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DR. Angela Ellis Derbes, O.D. is a pediatrics optometrist in College Station, TX. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Angela Ellis Derbes, O.D. NPI is 1629310776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4735 JOHNSON CREEK LOOP
COLLEGE STATION, TX
ZIP 77845-890
Phone: (979) 777-9589

The enumeration date for this NPI number is 3/26/2013 and was last updated on 3/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WP0200X	Optometrist	Pediatrics	5117TG	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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