Active NPI
Wanzhi Li
- Optometrist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61064012
- Practice address
- 17800 Talbot Rd S Ste 200
Renton, WA 98055-5776 - Phone
- (425) 545-1010
- Fax
- (425) 738-3707
- NPI assigned
- May 8, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OD61064012 | WA | Primary |
Addresses
Primary practice location
17800 Talbot Rd S Ste 200
Renton, WA 98055-5776
Mailing address
17800 Talbot Rd S Ste 200
Renton, WA 98055-5776
Phone (425) 545-1010
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18209 Bothell Way NE
Bothell, WA 98011-1921
Phone (425) 486-2121
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD61064012 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Vision Source PS | Optometrist | Current | Accepting new patients |
| Aeg Washington Professional PC | Optometrist | Current | Accepting new patients |
| Kirkland Eye Clinic, P.S. | Optometrist | Current | Accepting new patients |
| Issaquah Vision Center PLLC | Optometrist | Current | Accepting new patients |
| Renton Vision Clinic PLLC | Optometrist | Current | Accepting new patients |
Locations
18209 Bothell Way NE
Bothell, WA 98011
Phone (425) 486-2121
1460 NW Gilman Blvd
Ste K2
Issaquah, WA 98027
Phone (425) 654-3652
8009 S 180th St
Ste 104
Kent, WA 98032
Phone (425) 251-9200
17800 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 545-1010
3218 NE 12th St
Ste A
Renton, WA 98056
Phone (425) 228-3364
17924 140th Ave NE
Ste 200
Woodinville, WA 98072
Phone (425) 483-8000
Organizations & group practices 5
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.
-
- Optometrist
- Renton, WA
- NPI 1710719034
-
- Optometrist
- Bellevue, WA
- NPI 1134835176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1326660713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17800 TALBOT RD S STE 200",
"city": "RENTON",
"state": "WA",
"postal_code": "980555776",
"telephone_number": "425-545-1010",
"fax_number": "425-738-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 TALBOT RD S STE 200",
"city": "RENTON",
"state": "WA",
"postal_code": "980555776",
"telephone_number": "425-545-1010",
"fax_number": "425-738-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "WANZHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61064012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.