Active NPI
Katelyn Ricker
- Optometrist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11379TG
- Practice address
- 15123 Prestonwood Blvd Ste 120
Dallas, TX 75248-4701 - Phone
- (214) 253-2000
- NPI assigned
- May 6, 2025
- Last updated
- Jul 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11379TG | TX | Primary |
Addresses
Primary practice location
15123 Prestonwood Blvd Ste 120
Dallas, TX 75248-4701
Mailing address
3702 Bridlewood TRL
Denison, TX 75020-0064
Phone (214) 842-0085
Other practice location 1
11511 Independence Pkwy Ste 102
Frisco, TX 75035-4676
Phone (972) 478-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11511 Independence Pkwy
Suite 102
Frisco, TX 75035-4676
Phone (972) 478-0550
15123 Prestonwood Blvd
Suite 120
Dallas, TX 75248-4701
Phone (214) 253-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Veritas, PLLC | Optometrist | Current | Accepting new patients |
| Clark Family Eye Care, PLLC | Optometrist | Current | Accepting new patients |
Locations
15123 Prestonwood Blvd
Ste 120
Dallas, TX 75248
Phone (214) 253-2000
11511 Independence Pkwy
Ste 102
Frisco, TX 75035
Phone (214) 551-5386
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1043009905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 BRIDLEWOOD TRL",
"city": "DENISON",
"state": "TX",
"postal_code": "750200064",
"telephone_number": "214-842-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15123 PRESTONWOOD BLVD STE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752484701",
"telephone_number": "214-253-2000"
}
],
"practiceLocations": [
{
"address_1": "11511 Independence Pkwy Ste 102",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750354676",
"country_code": "US",
"telephone_number": "972-478-0550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKER",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-06",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11379TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.