Individual
DR. MITCHELL J.V. MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010143187
ASURIS(REGENCE BS OF ID)
ID
01
—
0169290
LABOR AND INDUSTRIES
WA
05
—
2029445
—
WA
01
—
2250MA
ASURIS(REGENCE NW HEALTH)
WA
01
—
28150
GROUP HEALTH
WA
01
—
806582700
PUBLIC ASSISTANCE
ID
01
—
A029
TRICARE
WA
01
—
P00010999
RAILROAD MEDICARE
WA
01
—
WA0690
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
07/13/2005
Last updated
08/01/2024
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