Organization
MAYEMURA, INC.
Active
Other names
Bartlett Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN KENJI MAYEMURA O.D. (OWNER/ OPTOMETRIC PHYSICIAN)
(425) 820-2020
Entity
Organization
Contact information
Practice address
14050 JUANITA DR NE, STE. A, BOTHELL, WA 98011-5308
(425) 820-2020
Mailing address
14050 JUANITA DR NE, STE. A, BOTHELL, WA 98011-5308
(425) 820-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
03/11/2009
Last updated
03/26/2009
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