Individual
ALI MAINAYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 SW 43RD ST # 310, RENTON, WA 98057-4803
(800) 826-4631
Mailing address
3518 109TH PL NE APT 225, BELLEVUE, WA 98004-7645
(425) 830-7252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61048791
WA
152W00000X
Optometrist
TUV009000-01
NY
Other
Enumeration date
04/22/2019
Last updated
08/06/2020
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