DR. ANGELA ELLIS DERBES (NPI# 1629310776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629310776 |
| Entity Type | Individual |
| Full Name | DR. ANGELA ELLIS DERBES |
| Credential | O.D. |
| Practice Address |
4735 Johnson Creek Loop College Station TX 77845-3890 |
| Practice Telephone | 9797779589 |
| Mailing Telephone | 9797779589 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
5117TG | TX | Eye and Vision Services Providers |
| Street Address |
4735 JOHNSON CREEK LOOP |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-3890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972111094 | Vision Advancement Center, Pllc | Optometrist | 12950 Dallas Pkwy Ste 900, Frisco, TX 75033-4237 | 2020-07-14 |
| 1053974741 | Trina Lieske O.d., Fcovd, P.a. | Optometrist | 6060 Azle Ave Ste 550, Lake Worth, TX 76135-2607 | 2019-04-17 |
| 1639577372 | Mann Eye2 20/20 Express | Optometrist | 2903 Woodbridge, Suite1290, Houston, TX 77087 | 2014-12-11 |
| 1619262417 | Stars In Your Eyes Vision Training Center LLC | Optometrist | 3305 Northland Dr Ste 312, Austin, TX 78731-4961 | 2011-06-09 |
| 1811147150 | Misa Trang Huynh, O.d. P.a | Optometrist | 5141 Fm 1960 Rd W, Houston, TX 77069-4504 | 2008-09-23 |
| 1831386200 | True Vision Family Eyecare | Optometrist | 12361 Barker Cypress Rd, 300, Cypress, TX 77429 | 2007-10-01 |
| 1851593198 | Cory K Nguyen | Optometrist | 12361 Barker Cypress Road, 300, Cypress, TX 77429 | 2007-05-31 |
| 1821006164 | Robert Michael Prince | Optometrist | 109 Medical Park Ln, Huntsville, TX 77340-4977 | 2006-08-03 |
| 1073592028 | Keira Renee West | Optometrist | 6049 Harris Pkwy, Fort Worth, TX 76132-4103 | 2006-01-10 |
| 1245233907 | Dr. Tony Y. Tao, Optometrist & Associates P.a. | Optometrist | 1150 N Watters Rd, Suite 107, Allen, TX 75013-5508 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.