Individual provider Active NPI

Wanzhi Li

  • Optometrist
  • Renton, WA
National Provider Identifier
1326660713
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61064012 Issued in WA
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

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806001829 WA Practitioner - Optometry 6002231198 Reassigns benefits to 2 organizations

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
Kirkland Eye Clinic PSGroup PAC ID 0244256378, 4 clinicians

Practice addresses (Care Compare)

18209 Bothell Way NE
Bothell, WA 98011-1921
Phone (425) 486-2121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61064012WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Source PS Optometrist CurrentSince Feb 17, 2026 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince Jul 11, 2024 Accepting new patients
Kirkland Eye Clinic, P.S. Optometrist CurrentSince Jun 19, 2025 Accepting new patients
Issaquah Vision Center PLLC Optometrist CurrentSince Jul 11, 2024 Accepting new patients
Renton Vision Clinic PLLC Optometrist CurrentSince Oct 14, 2022 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.

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

Verify at the official NPI Registry.