Provider Demographics
NPI:1932288396
Name:GAIMARI, DAVID G (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:GAIMARI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 E ROWAN AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1200
Mailing Address - Country:US
Mailing Address - Phone:509-487-5456
Mailing Address - Fax:509-484-0082
Practice Address - Street 1:318 E ROWAN AVE STE 207
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1200
Practice Address - Country:US
Practice Address - Phone:509-487-5456
Practice Address - Fax:509-484-0082
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003794152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2028314Medicaid
WA8906303OtherWA STATE DL&I CV #
WA0187374OtherWA STATE DL&I #
WAP00142471Medicare ID - Type UnspecifiedRR MEDICARE #
WA0187374OtherWA STATE DL&I #
WA8906303OtherWA STATE DL&I CV #