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

Mrs. Michelle Renee Durham, OD

Individual provider Optometrist · NPI 1023287067

Mrs. Michelle Renee Durham, OD is an Optometry in Lacey, Washington. Qualified in 2005, 21 years ago. Practices with Aeg Washington Professional PC, a 61-clinician group and accepts Medicare assignment. Licensed in Arkansas, Hawaii, Missouri and Washington.

Years since qualifying
21
Licensed in
AR, HI, MO, WA
In the registry since
2008
Specialties on file
4
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

2539 Marvin Rd NE Ste B
Lacey, WA 98516
Phone: (360) 459-3335
Fax: (360) 459-2724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60798589 (WA)
Optometrist Taxonomy 152W00000X · Licence 2639 (AR)
Optometrist Taxonomy 152W00000X · Licence 764 (HI)
Optometrist Taxonomy 152W00000X · Licence 2005035713 (MO)

Record details

NPI number1023287067
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 25, 2008
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Aeg Washington Professional Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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