Active NPI
Rikson Zollinger, OD
- Optometrist
- Spokane Valley, WA
National Provider Identifier
1306288105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60575301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 709 | ND | MD | Registered Dietitian |
| 60575301 | WA | MD | Optometrist |
| 3357 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Vision Therapy Optometrist
- Spokane Valley, WA
- NPI 1699282079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.