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Individual

MARY MCMAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
535 S ARLINGTON AVE, RENO, NV 89509-1504
(775) 323-0157
Mailing address
3323 PINE NEEDLE CIR, ROUND ROCK, TX 78681-1147
(512) 900-0322
(512) 237-7357

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1055
NV
152W00000X
Optometrist
119076
IA
152W00000X
Optometrist
197606
AK
152W00000X
Optometrist
3858
MN
152W00000X
Optometrist
7041TG
TX
152W00000X
Optometrist
OPT-002560
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1055
NV BOARD OF OPTOMETRY LICENSE
NV
01
119076
IOWA BOARD OF OPTOMETRY
IA
01
197606
ALASKA BOARD OF OPTOMETRY
AK
01
3858
MINNESOTA BOARD OF OPTOMETRY
MN
01
7041TG
TEXAS BOARD OF OPTOMETRY
TX
01
OPT-002560
ARIZONA BOARD OF OPTOMETRY
AZ
Enumeration date
02/05/2007
Last updated
09/30/2023
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