Doctor profile · Federal record
Dr. Kristen Derry
Optometrist (CMS: Optometry) · Optometrist · Student in an Organized Health Care Education/Training Program · Vancouver, WA
- NPI 1730523788
- Accepts Medicare
- 12 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12116 Se Mill Plain Blvd Ste 1
Vancouver, WA 986846000
(360) 719-1512
fax (503) 254-0576 - Mailing address
-
5105 Sw Elm Ave
Beaverton, OR 970054230
Credentials & registration
- NPI registered
- April 2013 — 13 yrs on file
- Profile last updated
- October 3, 2022
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Washington #60503088 · Oregon #3579ATI
- Medicaid
- OR #500740584
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730523788. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$58
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Leadiant Biosciences, INC. | 1 | $22.85 | |
| Alcon Vision LLC | 1 | $20.45 | |
| Tarsus Pharmaceuticals, INC. | 1 | $14.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
87
Patients
19
Total drug cost
$9,361
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 59 | 19 | $989 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 16 | 0 | $771 |
| Restasis (Cyclosporine) | Brand | 12 | 0 | $7,601 |
Frequently asked questions
What is Dr. Kristen Derry's medical specialty?
Dr. Kristen Derry practices Optometrist in Vancouver, WA.
Where does Dr. Kristen Derry practice?
Dr. Kristen Derry practices at 12116 Se Mill Plain Blvd Ste 1, Vancouver, WA 986846000. Office phone: 3607191512.
What is Dr. Kristen Derry's NPI?
Dr. Kristen Derry's National Provider Identifier (NPI) is 1730523788, issued by NPPES.
Does Dr. Kristen Derry accept Medicare assignment?
Yes. Dr. Kristen Derry accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.