Organization Active NPI

Ridgetop Vision Care

  • Optometrist
  • Silverdale, WA
National Provider Identifier
1114796703
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RIDGETOP VISION CARE
Practice address
10000 Mickelberry Rd NW
Silverdale, WA 98383-8302
Phone
(360) 308-2132
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Rachael Koschnick, ODNPI 1164806915
Title
Owner
Phone
(360) 301-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10000 Mickelberry Rd NW
Silverdale, WA 98383-8302

Mailing address

300 Disney Rd
Nordland, WA 98358-9609
Phone (360) 301-3008

Other names 1

  • Rachael Koschnick Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1114796703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DISNEY RD",
            "city": "NORDLAND",
            "state": "WA",
            "postal_code": "983589609",
            "telephone_number": "360-301-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838302",
            "telephone_number": "360-308-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGETOP VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "KOSCHNICK",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-301-3008",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rachael Koschnick",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.