Individual provider Active NPI

Patrick Daniel Colerick, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1912057373
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7365T Issued in TX
Practice address
11442 N. Central Expressway
Dallas, TX 75243
Phone
(817) 410-2030
Fax
(817) 424-3283
NPI assigned
Jan 10, 2007
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7365T TX Primary

Addresses

Primary practice location

11442 N. Central Expressway
Dallas, TX 75243

Mailing address

11442 N. Central Expressway
Dallas, TX 75243
Phone (817) 410-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091223000207 TX Practitioner - Optometry 7911965793 Reassigns benefits to 1 organization
I20190819001316 AZ Practitioner - Optometry 7911965793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates LTDGroup PAC ID 1355232653, 7 clinicians

Practice addresses (Care Compare)

5240 E Knight Dr
Suite 104
Tucson, AZ 85712-2122
Phone (520) 795-4202

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7365TTXMDOptometrist
1003NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates LTD Current Accepting new patients
Eye Associates LTD Optometrist CurrentSince Sep 1, 2019 Accepting new patients
JW Eye Associates, PLLC Optometrist Current Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Aug 1, 2011 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Aug 1, 2011 Accepting new patients
Eye Associates LTD CurrentSince Sep 1, 2019 Accepting new patients
Limberg Eye Surgery a Medical Corporation Optometrist PastSince Jun 30, 2021 Accepting new patients

Locations

5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202

6130 N La Cholla Blvd
Ste 245
Tucson, AZ 85741
Phone (520) 795-4202

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

2201 Westgate Plz
Grapevine, TX 76051
Phone (817) 410-2030

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

Organizations & group practices 7

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1912057373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "817-410-2030",
            "fax_number": "817-424-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "817-410-2030",
            "fax_number": "817-424-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLERICK",
        "first_name": "PATRICK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7365T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.