Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Daryn W. Derstine, OD

Individual provider Optometrist · NPI 1669490686

Dr. Daryn W. Derstine, OD is an Optometry in Portland, Oregon. Graduated from University Alabama Birmingham - School of Optometry in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
26
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
OR
In the registry since
2006
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

6539 SE Milwaukie Ave
Portland, OR 97202-5519
Phone: (503) 236-6008
Fax: (503) 236-2057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2773ATI (OR)

Record details

NPI number1669490686
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 15, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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