Individual
MR. KEVIN B AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146425100000
PREMERA BLUE CROSS
WA
05
—
2004356
—
WA
01
—
481279263AA
UNIFORM MEDICAL
WA
01
—
5239650001
DMERC REGION D
WA
01
—
DB9688
PALMETTO GBA RAILROAD MEDICARE
WA
Enumeration date
03/14/2006
Last updated
03/18/2016
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