Individual
DEREK MCTYIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
314 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3387
(360) 694-8303
(360) 694-9032
Mailing address
314 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3387
(360) 694-8303
(360) 694-9032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0004011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031870
—
WA
Enumeration date
10/20/2006
Last updated
02/03/2016
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