| Dean Riskedahl, Od, Ps | |
|
2092 32nd Ave Ne, Issaquah, WA 98029-7349 | |
| (425) 861-7761 | |
| Not Available |
| Full Name | Dean Riskedahl, Od, Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2092 32nd Ave Ne, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982862868 | NPI | - | NPPES |
| 2022929 | Medicaid | WA | |
| 22-04322 | Other | EVERCARE | |
| 410045719 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD00001900 (Washington) | Primary |
| Provider Name | Dean E Riskedahl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396800025 PECOS PAC ID: 7113908492 Enrollment ID: I20040525000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Riskedahl, Od, Ps Po Box 5202, Kent, WA 98064-5202 Ph: (253) 520-0158 | Dean Riskedahl, Od, Ps 2092 32nd Ave Ne, Issaquah, WA 98029-7349 Ph: (425) 861-7761 |
Dr. Frank Swenson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Nw Gilman Blvd., Suite E-102, Issaquah, WA 98027 Phone: 425-391-1819 | |
Michael Erickson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029 Phone: 425-392-9982 Fax: 815-301-5473 | |
Clemence Mendoza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 100 Ne Gilman Blvd, Issaquah, WA 98027 Phone: 425-557-8000 | |
Dr. Michael Dennis Erickson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029 Phone: 425-392-9982 Fax: 815-301-5473 | |
Christina Schiller Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 970 5th Ave Nw Ste 120, Issaquah, WA 98027 Phone: 425-276-0388 | |
Dr. Teri Tsuchiya Yoshimura, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1145 Nw Gilman Blvd # G-12, Issaquah, WA 98027 Phone: 425-391-9331 Fax: 425-391-9331 | |
Stephan Cassidy Od Ps Optometrist Medicare: Medicare Enrolled Practice Location: 450 Nw Gilman Blvd, Ste 104, Issaquah, WA 98027 Phone: 425-392-8756 Fax: 425-391-8631 |