Provider Demographics
NPI:1689673238
Name:CODAY, MARY PEI-ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:PEI-ANN
Last Name:CODAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:PEI-ANN
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1837 156TH AVE NE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4387
Mailing Address - Country:US
Mailing Address - Phone:425-643-2020
Mailing Address - Fax:425-643-0859
Practice Address - Street 1:1837 156TH AVE NE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4387
Practice Address - Country:US
Practice Address - Phone:425-643-2020
Practice Address - Fax:425-643-0859
Is Sole Proprietor?:No
Enumeration Date:2005-07-16
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036410207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8233330Medicaid
WA8233330Medicaid
WA6478610001Medicare NSC
WAG80478Medicare UPIN