Kristen Elaine Derry is a Vancouver, Washington based female Optometrist with 10 years of experience in Optometry. She completed her graduation from Pacific University - College Of Optometry in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kristen Elaine Derry is 60503088 for Optometry in Washington. Kristen Elaine Derry examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Kristen Elaine Derry speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Experience:
10+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2014
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
12116 Se Mill Plain Blvd Ste 1, Vancouver, Washington, 98684-6000
Phone:
360-719-1512
Fax:
503-254-0576
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042524175
Enrollment ID:
I20150804003583
NPI Number:
1730523788
NPI Enumeration Date:
22 Apr, 2013
NPI Last Update On:
03 Oct, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristen Elaine Derry are as mentioned below.
License Number
Specialization
State
Status
60503088
Optometry
Washington
Primary
3579ATI
Optometry
Oregon
Secondary
Student in an Organized Health Care Education/Training Program
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kristen Elaine Derry has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Alberta Eye Care (1355575127)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Kristen Elaine Derry such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500740584
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5105 Sw Elm Ave, Beaverton, Oregon
Zip:
97005-4230
Phone Number:
541-659-9318
Fax Number:
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Patients can reach Kristen Elaine Derry at 12116 Se Mill Plain Blvd Ste 1, Vancouver, Washington or can call to book an appointment on 360-719-1512. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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