OrganizationActive
Daryn W Derstine OD PC
NPI 1285779140 · Optometrist · Portland, OR
Daryn W Derstine OD PC is a Optometrist organization in Portland, OR (NPI 1285779140).
Provider details
- NPI number
- 1285779140
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Daryn Derstine, President(503) 654-6217
- License
- 2773ATI (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12000 Se 82nd Ave
1008
Portland, OR 97266-7721
Phone: (503) 654-6217
Fax: (503) 654-9335
Street-level locationGet directions
Mailing address
12000 Se 82nd Ave
Portland, OR 97086
Other names (DBA / former)
- Doing business as
- Master Eye Associates, Se
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Daryn W Derstine OD PC's NPI number?
- Daryn W Derstine OD PC's National Provider Identifier (NPI) is 1285779140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daryn W Derstine OD PC?
- Daryn W Derstine OD PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Daryn W Derstine OD PC located?
- Daryn W Derstine OD PC's practice location on file with NPPES is 12000 Se 82nd Ave, Portland, OR 97266-7721.
- What is Daryn W Derstine OD PC's phone number?
- The practice phone number listed in the NPPES registry for Daryn W Derstine OD PC is (503) 654-6217.
- Who is the authorized official for Daryn W Derstine OD PC?
- The authorized official listed on Daryn W Derstine OD PC's NPPES record is Daryn Derstine, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Daryn W Derstine OD PC's NPI active?
- Yes — Daryn W Derstine OD PC's NPI (1285779140) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.