Provider Demographics
NPI:1841608809
Name:MAHER, ANITA DEVI (OD)
Entity Type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:DEVI
Last Name:MAHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:16006 ASH WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6352
Mailing Address - Country:US
Mailing Address - Phone:425-787-5200
Mailing Address - Fax:425-787-5252
Practice Address - Street 1:16006 ASH WAY STE 101
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-6352
Practice Address - Country:US
Practice Address - Phone:425-787-5200
Practice Address - Fax:425-787-5252
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOD60482769152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy