Active NPI
Adam R Risko, OD
- Optometrist
- Kalamazoo, MI
National Provider Identifier
1386086064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3010
- Practice address
- 4425 W Main St
Kalamazoo, MI 49006-2648 - Phone
- (269) 345-4425
- Fax
- (269) 345-4435
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004810 | MI | |
| Optometrist | 152W00000X | 3010 | CO | Primary |
Addresses
Primary practice location
4425 W Main St
Kalamazoo, MI 49006-2648
Mailing address
4425 W Main St
Kalamazoo, MI 49006-2648
Phone (269) 345-4425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Illinois College of Optometry at Chicago, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4425 W Main St
Kalamazoo, MI 49006-2648
Phone (269) 345-4425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Adam R. Risko, OD PLLC | Optometrist | Current | Accepting new patients |
Locations
4425 W Main St
Kalamazoo, MI 49006
Phone (269) 345-4425
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.
-
- Optometrist
- Kalamazoo, MI
- NPI 1649023144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1386086064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062648",
"telephone_number": "269-345-4425",
"fax_number": "269-345-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062648",
"telephone_number": "269-345-4425",
"fax_number": "269-345-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISKO",
"first_name": "ADAM",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2024-06-12",
"certification_date": "2024-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004810",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "3010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.