Daryn W Derstine Od Pc in Portland - Optometrist
Daryn W Derstine Od Pc - NPI 1285779140
Daryn W Derstine Od Pc is a Optometrist in Portland, Oregon. Daryn W Derstine Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daryn W Derstine Od Pc is 1285779140. The last update date is 2020-08-22.
Daryn W Derstine Od Pc's current location address is 12000 Se 82nd Ave, Portland, Oregon. You can contact this provider via phone number 5036546217 and fax number 5036549335. The mailing address for Daryn W Derstine Od Pc is 12000 Se 82nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Daryn W Derstine Od Pc |
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Address | 12000 Se 82nd Ave, Portland, Oregon |
Phone Number | 5036546217 |
Fax Number | 5036549335 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Derstine W Daryn |
Credentials | O.D. |
Telephone Number | 5036546217 |
NPI Number Detail
NPI Number | 1285779140 |
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Provider Enumeration Date | 2007-02-20 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 12000 Se 82nd Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 97086 |
Phone Number | 5036546217 |
Fax Number | 5036549335 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 2773ATI |
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 |
Post Comment/ Review Below
What is the unique identification code assigned to Daryn W Derstine Od Pc by the Centers for Medicare & Medicaid Services?
The Daryn W Derstine Od Pc has been issued the NPI (National Provider Identifier) 1285779140. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Daryn W Derstine Od Pc is located?
The Daryn W Derstine Od Pc is situated at the following address: 12000 Se 82Nd Ave, Portland, OR, 97086.
What is the Daryn W Derstine Od Pc's area of specialization and corresponding taxonomy classification?
The Daryn W Derstine Od Pc's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
When did Daryn W Derstine Od Pc receive its 1285779140 assignment?
The Daryn W Derstine Od Pc was assigned its 1285779140 on 2007-02-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Daryn W Derstine Od Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Daryn W Derstine Od Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA