Katelyn Ricker

Optometrist · Dallas, TX

Individual Active NPI

NPI number 1043009905

Practice location

15123 Prestonwood Blvd Ste 120
Dallas, TX 75248-4701
Phone
(214) 253-2000

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NPI record

NPI
1043009905
Entity type
Individual (Type 1)
Enumeration date
May 6, 2025
Last updated
July 25, 2025
Certified
July 25, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 11379TG TX

Mailing address

3702 Bridlewood Trl
Denison, TX 75020-0064
Phone
(214) 842-0085

Other practice locations (1)

  • 11511 Independence Pkwy Ste 102, Frisco, TX 75035-4676 · (972) 478-0550

About Katelyn Ricker

Katelyn Ricker is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 15123 Prestonwood Blvd Ste 120, Dallas, TX 75248-4701. The NPI number 1043009905 was assigned on May 6, 2025 and the record was last updated on July 25, 2025.

Katelyn Ricker lists a license in the registry: #11379TG (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katelyn Ricker?

The NPI number is 1043009905.

What is the phone number of Katelyn Ricker?

The phone number listed for the practice location is (214) 253-2000.

Where is Katelyn Ricker located?

15123 Prestonwood Blvd Ste 120, Dallas, TX 75248-4701.

What is the taxonomy code for Katelyn Ricker?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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