Provider Demographics
NPI:1811029366
Name:STANLEY, MARIA ARRATE (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ARRATE
Last Name:STANLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2261 PYRAMID WAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-2189
Mailing Address - Country:US
Mailing Address - Phone:775-358-7921
Mailing Address - Fax:775-358-6278
Practice Address - Street 1:2261 PYRAMID WAY
Practice Address - Street 2:SUITE 5
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2189
Practice Address - Country:US
Practice Address - Phone:775-358-7921
Practice Address - Fax:775-358-6278
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV312152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2516009Medicaid
NV2516009Medicaid
NVV37315Medicare PIN