| Derik Hardesty, OD | |
|
101 Nw 12th Ave Ste 101, Battle Ground, WA 98604-9145 | |
| (360) 687-0755 | |
| (360) 666-8664 |
| Full Name | Derik Hardesty |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 101 Nw 12th Ave Ste 101, Battle Ground, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003497058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | AT4638 (Oregon) | Primary |
| Provider Name | Pacific Eye Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Derik Hardesty, OD 101 Nw 12th Ave Ste 101, Battle Ground, WA 98604-9145 Ph: (360) 687-0755 | Derik Hardesty, OD 101 Nw 12th Ave Ste 101, Battle Ground, WA 98604-9145 Ph: (360) 687-0755 |
Robert Gilbert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 Phone: 360-687-4901 | |
Jason Egbert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 Phone: 360-687-4901 | |
Jason R Egbert Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 Phone: 360-687-4901 | |
Moua Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sw 13th Ave, Battle Ground, WA 98604 Phone: 360-723-9010 | |
Vally Moua, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1201 Sw 13th Ave, Battle Ground, WA 98604 Phone: 360-723-9010 | |
Sonya Tran, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Nw 12th Ave Ste 101, Battle Ground, WA 98604 Phone: 360-687-0755 |