Active NPI
Patrick Daniel Colerick, O.D.
- Optometrist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7365T
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7365T | TX | MD | Optometrist |
| 1003 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates LTD | Current | Accepting new patients | |
| Eye Associates LTD | Optometrist | Current | Accepting new patients |
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| Eye Associates LTD | Current | Accepting new patients | |
| Limberg Eye Surgery a Medical Corporation | Optometrist | Past | 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.
-
dba Key Whitman Eye Center
- Ophthalmology Physician
- Dallas, TX
- NPI 1285679803
Optometrist
-
dba Key Whitman Eye Center
- Ophthalmology Physician
- Plano, TX
- NPI 1427230531
Optometrist
-
dba Key-Whitman Eye Center Greenville
- Ophthalmology Physician
- Greenville, TX
- NPI 1518849728
Optometrist
-
dba Eye Associates of Tucson
- Ophthalmology Physician
- Tucson, AZ
- NPI 1275756777
Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1851780019
-
- Ophthalmology Physician
- San Luis Obispo, CA
- NPI 1952459265
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.