NPI 1003497058

Derik Hardesty, OD

Practitioner Optometrist Battle Ground, WA

Practice location

Address: 101 NW 12th Ave STE 101, Battle Ground, WA 98604-9145
Phone: (360) 687-0755
Fax: (360) 666-8664

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence AT4638 (OR)

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Registry record

NPI: 1003497058
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2021
Record last updated: 6 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.