Amy Lynn Riskedahl, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001906 Issued in WA

Practice address

5900 Littlerock Rd SW
Tumwater, WA 98512-7355

Phone

(360) 350-6024

Fax

(360) 943-6981

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sammamish Vision Center

  • Optometrist
  • Sammamish, WA
  • NPI 1699700294
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1104863356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LITTLEROCK RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127355",
            "telephone_number": "360-350-6024",
            "fax_number": "360-943-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LITTLEROCK RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127355",
            "telephone_number": "360-350-6024",
            "fax_number": "360-943-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKEDAHL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD00001906",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "OD00001906",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "OD00001906",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Rhea, PHARMD
• Dana Richards
• Kristi Michelle Richmond
• Rick Jude, DMD, PS
• Katelyn Rini, LMHC
• Anthony Scott Robbins, MED MA LMHCA
• Steven Anthony Robbins, M.P.T.
• Diana L Roberts
• Stephanie Roberts, RN
• Alexander Kenneth Robertson

• Optometrist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.