Organization
MAYEMURA, INC.
Active
Other names
Mountlake Terrace Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN KENJI MAYEMURA O.D. (OWNER / OPTOMETRIC PHYSICIAN)
(425) 778-0133
Entity
Organization
Contact information
Practice address
23009 56TH AVE W, STE. A, MOUNTLAKE TERRACE, WA 98043-4713
(425) 778-0133
(425) 778-8833
Mailing address
14050 JUANITA DR NE, STE. A, KIRKLAND, WA 98034-9708
(425) 820-2020
(425) 821-9576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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