David a. Nethery, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DAVID A. NETHERY, M.D., P.A.

Doing business as

Nethery Eye Associates

Practice address

6551 Harris Pkwy
Suite 200
Fort Worth, TX 76132-6102

Phone

(817) 423-1800

Fax

(817) 423-1900

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Ann Tate

Title

Administrator

Phone

(817) 423-1800

Specialties & licenses 1

Addresses

Other names 1

• Nethery Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan L Abernethy, MD

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1871590471
  Medicare reassignment Care Compare group NPD
• Aaryn McComb, O.D.

  • Optometrist
  • Fort Worth, TX
  • NPI 1205218104
  Medicare reassignment Care Compare group NPD
• David Atteberry Nethery, M.D.

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1548264443
  Medicare reassignment Care Compare group NPD
• Derek Sears, M.D.

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1427589514
  Medicare reassignment Care Compare group NPD
• Scott Naixing Zhou, MD

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1770102287
  Medicare reassignment Care Compare group NPD
• Karl Bruno Brandenberg, M.D.

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1831196088
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1740287994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326102",
            "telephone_number": "817-423-1800",
            "fax_number": "817-423-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326102",
            "telephone_number": "817-423-1800",
            "fax_number": "817-423-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. NETHERY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-423-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nethery Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Davenport, AGACNP
• Jessica Davenport, PA-C
• Jillian Rose Davenport, LCSW
• Norman Alan Davenport, MD
• Staci Lynn Davenport, M.D.
• David Back Clinic of America
• David Back Clinic of America Inc
• David Back Clinic of America, Inc.
• David E. Teitelbaum, D.O., P.a.
• David J. Greenway

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.