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Kristen Elaine Derry
Optometrist in Vancouver, Washington
NPI 1730523788

Kristen Elaine Derry is a Optometrist based in Beaverton, WA. Kristen Elaine Derry practices in Vancouver, WA. The NPI Number for Kristen Elaine Derry is 1730523788 and holds a License No. 3579ATI (Washington).

The current practice location address for Kristen Elaine Derry is 12116 Se Mill Plain Blvd Ste 1, Vancouver, WA and can be reached out via phone at 360-719-1512 and via fax at 503-254-0576.

Location: 12116 Se Mill Plain Blvd Ste 1, Vancouver, WA, 97005-4230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730523788
Provider Name
Kristen Elaine Derry
Credential
Provider Entity Type
Individual
Gender
Female
Address
12116 Se Mill Plain Blvd Ste 1, Vancouver, WA, 97005-4230
Phone Number
360-719-1512
Fax Number
503-254-0576
Provider Enumeration Date
04/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500740584 05 OR
institution
Provider Business Practice Location Address Details
Address
12116 Se Mill Plain Blvd Ste 1
City
Vancouver
State
Washington
Zip
98684-6000
Phone Number
360-719-1512
Fax Number
503-254-0576
person
Provider Business Mailing Address Details
Address
12116 Se Mill Plain Blvd Ste 1
City
Vancouver
State
Washington
Zip
98684-6000
Phone Number
360-719-1512
Fax Number
503-254-0576
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
()
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
3579ATI (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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