Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derik Hardesty, OD

Individual provider Optometrist · NPI 1003497058

Derik Hardesty, OD is an Optometry in Battle Ground, Washington. Graduated from Southern California College of Optometry in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Trained at
Southern California College of Optometry
Licensed in
OR
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

101 NW 12th Ave Ste 101
Battle Ground, WA 98604-9145
Phone: (360) 687-0755
Fax: (360) 666-8664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence AT4638 (OR)

Record details

NPI number1003497058
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address101 Nw 12th Ave Ste 101, Battle Ground, WA 98604-9145

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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