Individual provider Active NPI

Ali Mainayar

  • Optometrist
  • Renton, WA
National Provider Identifier
1013570381
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61048791 Issued in WA
Practice address
1412 SW 43Rd St # 310
Renton, WA 98057-4803
Phone
(800) 826-4631
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009000-01 NY
Optometrist 152W00000X OD61048791 WA Primary

Addresses

Primary practice location

1412 SW 43Rd St # 310
Renton, WA 98057-4803

Mailing address

3518 109TH PL NE Apt 225
Bellevue, WA 98004-7645
Phone (425) 830-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608000547 WA Practitioner - Optometry 1153650759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians

Practice addresses (Care Compare)

1412 SW 43Rd St
Suite 310
Renton, WA 98057-4803
Phone (425) 235-1200

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
88.73
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009000-01NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians PC CurrentSince Aug 1, 2020 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients

Locations

16404 Smokey Point Blvd
Ste 303
Arlington, WA 98223
Phone (360) 658-6224

903 Medical Center Dr
Ste 100
Arlington, WA 98223
Phone (360) 435-8595

2075 Barkley Blvd
Ste 205
Bellingham, WA 98226
Phone (360) 676-6233

21906 76th Ave W
Edmonds, WA 98026
Phone (425) 577-4262

1306 Roosevelt Ave
Mount Vernon, WA 98273
Phone (360) 428-2020

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

332 NE Northgate Way
Seattle, WA 98125

795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224

16010 E Indiana Ave
Spokane Valley, WA 99216
Phone (509) 928-8040

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1013570381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 109TH PL NE APT 225",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047645",
            "telephone_number": "425-830-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST # 310",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "800-826-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINAYAR",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009000-01",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61048791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.