Pediatric Eye Specialists LLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L2508 L8376 L047 Issued in TX

Legal business name

PEDIATRIC EYE SPECIALISTS LLP

Practice address

321 S Henderson St
Fort Worth, TX 76104-1016

Phone

(817) 529-9949

Fax

(817) 529-9943

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Melissa A Dock

Title

Credentialing Coordinator

Phone

(817) 529-9949

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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

• Michael Griffin Hunt, MD

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1154301372
  Medicare reassignment Care Compare group NPD
• Alan Andrew Norman, MD

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1346219821
  Medicare reassignment Care Compare group NPD
• Eric Alan Packwood, MD

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1366414773
  Medicare reassignment Care Compare group NPD
• David F Skanchy

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Fort Worth, TX
  • NPI 1649831462
  Medicare reassignment Care Compare group NPD
• Sarah Madison Duff, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Louisville, KY
  • NPI 1417480153

  TX

  Medicare reassignment Care Compare group NPD
• Alicia Denee Derry, O.D.

  • Pediatric Optometrist
  • Fort Worth, TX
  • NPI 1801999149
  Medicare reassignment NPD
• Emily Evans Horn, O.D.

  • Optometrist
  • Watauga, TX
  • NPI 1841639473
  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1760507149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041016",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041016",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EYE SPECIALISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "DOCK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "817-529-9949"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L2508   L8376   L047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323588905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166926901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152778001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145291402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018440004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Renae Peden, RN
• Pedi Master Inc
• Pedi Spot LLC
• Pedialife Home Health Inc.
• Pediatric Echocardiography Diagnostic Services
• Pediatric Home Healthcare, LLC
• Pediatric Surgical Associates of Ft. Worth, P. a.
• Pediatric Therapy Associates of FW
• Pediatric Therapy Services of Texas (Gemini Pediatric Therapy)
• Pediatric Urgent Care Center of Fort Worth, P.a.. (Fort Worth Concierge Plus)

• 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 May 21, 2026; 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.