Derry Family Eyecare LLC

NPI #1396459616 in Vancouver, Washington

Provider Information

NPI Number: 1396459616
Entity Type: Organization
Organization Name: Derry Family Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 11, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 12116 SE MILL PLAIN BLVD
Address 2: SUITE 1
City: Vancouver
State: Washington
ZIP Code: 98684
Phone: (360) 892-3828

Authorized Official

Name: MRS. KRISTEN ELAINE DERRY, OD
Title: OPTOMETRIST
Phone: (360) 892-3828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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