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Organization

SPEC'D OUT EYE CARE, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DERIK HARDESTY OD (OWNER)
(360) 687-0755
Entity
Organization

Contact information

Practice address
101 NW 12TH AVE STE 101, BATTLE GROUND, WA 98604-9145
(360) 687-0755
(360) 666-8664
Mailing address
101 NW 12TH AVE STE 101, BATTLE GROUND, WA 98604-9145
(360) 687-0755
(360) 666-8664

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
03/06/2025
Last updated
05/07/2026
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