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NPI 1104863356

IndividualActive

Amy Riskedahl, O.D.

NPI 1104863356 · Optometrist · Tumwater, WA

Provider details

NPI number: 1104863356
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Female
Sole proprietor: No
License: OD00001906 (WA)

Practice location

5900 Littlerock Rd Sw

Tumwater, WA 98512-7355

Phone: (360) 350-6024

Fax: (360) 943-6981

More WA providers

Mailing address

5900 Littlerock Rd Sw

Tumwater, WA 98512-7355

Registry dates

Enumerated: 2006-05-31
Last updated: 2019-05-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amy Riskedahl, O.D. — NPI 1104863356, Tumwater, WA | NPI Central