Individual provider Active NPI

Rikson Zollinger, OD

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1306288105
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60575301 Issued in WA
Practice address
1120 N Pines Rd Ste C
Spokane Valley, WA 99206
Phone
(509) 590-0607
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 709 ND
Optometrist 152W00000X 60575301 WA Primary

Addresses

Primary practice location

1120 N Pines Rd Ste C
Spokane Valley, WA 99206

Mailing address

2615 S Bolivar Rd
Spokane Valley, WA 99037-9370

Other practice location 1

2207 N Molter Rd Ste 100
Liberty Lake, WA 99019-7571
Phone (509) 590-0607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 11, 2023 through Oct 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
709NDMDRegistered Dietitian
60575301WAMDOptometrist
3357MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Vision Therapy, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1306288105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S BOLIVAR RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N PINES RD STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-590-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2207 N Molter Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990197571",
            "country_code": "US",
            "telephone_number": "509-590-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLINGER",
        "first_name": "RIKSON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "709",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60575301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.