Nakamoto, Ava Mineko
Nakamoto, Ava Mineko is an individual health care provider with primary practice located at 32717 1St Ave S Suite 6, Federal Way WA 98003-5758. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nakamoto, Ava Mineko can be contacted via phone (253) 838-5428.Contact Information
Primary practice address
32717 1St Ave S Suite 6
Federal Way WA 98003-5758
Phone: (253) 838-5428
Fax: (253) 838-0875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001560 | Washington |
Profile Details
| NPI number | 1104809995 |
|---|---|
| LBN Legal business name | Nakamoto, Ava Mineko |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104809995 | NPPES |
| Washington | MEDICAID | 2027662 |
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