Active NPI
Synthia Mainayar, OD
- Optometrist
- Issaquah, WA
National Provider Identifier
1639734445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9004 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alderwood Vision Therapy and Development PLLC | Current | 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.
-
- Vision Therapy Optometrist
- Lynnwood, WA
- NPI 1487462180
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.