Derek N. Cunningham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

06300T Issued in TX

Practice address

901 Mopac Expressway South
Building 4 Suite 350
Austin, TX 78746-5776

Phone

(512) 347-0255

Fax

(512) 347-0785

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Waterloo - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dell Laser Consultants, P.a.Group PAC ID 0446529473, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dell Laser Consultants, P.a.

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1386164481
  Medicare reassignment Care Compare group NPD
• Dell Laser Consultants

  • Ophthalmologic Surgery Clinic/Center
  • Austin, TX
  • NPI 1316347339
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1265407084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MOPAC EXPRESSWAY SOUTH",
            "address_2": "BUILDING 4 SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465776",
            "telephone_number": "512-347-0255",
            "fax_number": "512-347-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MOPAC EXPRESSWAY SOUTH",
            "address_2": "BUILDING 4 SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465776",
            "telephone_number": "512-347-0255",
            "fax_number": "512-347-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DEREK",
        "middle_name": "N.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R164TA776",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06300T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166400501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dobie Cumpian
• Dana Cunliffe
• Allison Cunning
• Cunningham Medical Supplies, LLC
• Barry D Cunningham, DDS
• Fred Kelly Cunningham, MD
• Mary V Cunningham, PH.D.
• Morgan Cunningham
• Sidney Kirk Cunningham, DDS
• Wendy Alicia Cunningham, LCSW-S

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.

Verify at the official NPI Registry.