Individual provider Active NPI

Synthia Mainayar, OD

  • Optometrist
  • Issaquah, WA
National Provider Identifier
1639734445
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9004 Issued in NY
Practice address
755 NW Gilman Blvd Ste G
Issaquah, WA 98027-5370
Phone
(425) 557-5439
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9004 NY Primary

Addresses

Primary practice location

755 NW Gilman Blvd Ste G
Issaquah, WA 98027-5370

Mailing address

3518 109TH PL NE Apt 225
Bellevue, WA 98004-7645
Phone (310) 874-9003

Other names 1

  • Synthia Perez Ramirez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 4, 2025 through Feb 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9004NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Vision Therapy and Development PLLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

16006 Ash Way
Ste 101
Lynnwood, WA 98087
Phone (425) 787-5200

Organizations & group practices 1

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1639734445",
    "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": "310-874-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NW GILMAN BLVD STE G",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275370",
            "telephone_number": "425-557-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINAYAR",
        "first_name": "SYNTHIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "9004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYNTHIA",
            "last_name": "PEREZ RAMIREZ",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.