NPIMap

Organization Active NPI

Sammamish Vision Center

  • Optometrist
  • Sammamish, WA
National Provider Identifier
1699700294
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SAMMAMISH VISION CENTER
Practice address
3310 E Lake Sammamish Pkwy SE
Suite E
Sammamish, WA 98075-7497
Phone
(425) 391-1116
Fax
(425) 391-0460
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Amy Lynn Riskedahl, O.D.NPI 1104863356
Title
Owner
Phone
(425) 391-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3310 E Lake Sammamish Pkwy SE
Suite E
Sammamish, WA 98075-7497

Mailing address

3310 E Lake Sammamish Pkwy SE
Suite E
Sammamish, WA 98075-7497

National Provider Directory

National Provider Directory

Locations

3310 E Lk Sammamish Pkwy SE
Ste E
Sammamish, WA 98075
Phone (425) 391-1116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1699700294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E LAKE SAMMAMISH PKWY SE",
            "address_2": "SUITE E",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E LAKE SAMMAMISH PKWY SE",
            "address_2": "SUITE E",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757497",
            "telephone_number": "425-391-1116",
            "fax_number": "425-391-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMAMISH VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RISKEDAHL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-391-1116",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.