Derry Family Eyecare LLC
NPI 1396459616ActiveOrganization· Optometrist· Vancouver, WA
Optometrist in Vancouver, Washington, registered in NPPES in January 2023. The authorized official on file is Kristen Elaine Derry, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396459616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2023 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Nov 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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