Derry Family Eyecare LLC
NPI 1396459616 · Optometrist · Vancouver, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derry Family Eyecare LLC is a Optometrist organization in Vancouver, WA (NPI 1396459616).
Provider details
- NPI number
- 1396459616
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kristen Derry, Optometrist(360) 892-3828
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Richardson Eye Clinic
- Doing business as
- Richardson Eye Clinic
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Frequently asked questions
- What is Derry Family Eyecare LLC's NPI number?
- Derry Family Eyecare LLC's National Provider Identifier (NPI) is 1396459616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derry Family Eyecare LLC?
- Derry Family Eyecare LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Derry Family Eyecare LLC located?
- Derry Family Eyecare LLC's practice location on file with NPPES is 12116 Se Mill Plain Blvd, Vancouver, WA 98684.
- What is Derry Family Eyecare LLC's phone number?
- The practice phone number listed in the NPPES registry for Derry Family Eyecare LLC is (360) 892-3828.
- Does Derry Family Eyecare LLC accept Medicare?
- Derry Family Eyecare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Derry Family Eyecare LLC?
- The authorized official listed on Derry Family Eyecare LLC's NPPES record is Kristen Derry, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derry Family Eyecare LLC's NPI active?
- Yes — Derry Family Eyecare LLC's NPI (1396459616) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.