Individual provider Active NPI

Mari Leiko Garner, OD

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1811953169
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003388 Issued in WA
Practice address
2100 SE 164TH Ave
Ste D 104
Vancouver, WA 98683-8934
Phone
(360) 256-0203
Fax
(360) 256-0215
NPI assigned
Apr 25, 2006
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003388 WA Primary

Addresses

Primary practice location

2100 SE 164TH Ave
Ste D 104
Vancouver, WA 98683-8934

Mailing address

2100 SE 164TH Ave
Ste D 104
Vancouver, WA 98683-8934
Phone (360) 256-0203

Other identifiers 1

IdentifierTypeStateIssuer
2022440MedicaidWA

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
I20100202000703 WA Practitioner - Optometry 6305989138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

16415 SE 115TH St
Suite 100
Vancouver, WA 98683-9802
Phone (360) 256-0203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care Center, P.S. Optometrist CurrentSince Jul 15, 2000 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince Jun 10, 2024 Accepting new patients

Locations

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

16415 SE 15th St
Ste 100
Vancouver, WA 98683
Phone (360) 256-0203

2100 SE 164th Ave
Unit D104
Vancouver, WA 98683
Phone (360) 256-0203

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1811953169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE 164TH AVE",
            "address_2": "STE D 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838934",
            "telephone_number": "360-256-0203",
            "fax_number": "360-256-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE 164TH AVE",
            "address_2": "STE D 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838934",
            "telephone_number": "360-256-0203",
            "fax_number": "360-256-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "MARI",
        "middle_name": "LEIKO",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022440",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.