Dean E Riskedahl DEAN RISKEDAHL OD PS

Address: 2092 32nd Ave Ne, Issaquah, WA 98029-7349
Phone: 4253699975

Dean E Riskedahl (NPI# 1396800025, PAC ID# 7113908492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1396800025
PAC ID by PECOS 7113908492
Professional Enrollment ID I20040525000562
Full Name Dean E Riskedahl
Organization Legal Name DEAN RISKEDAHL OD PS
Address 2092 32nd Ave Ne
Issaquah
WA 98029-7349
Phone Number 4253699975
Gender M
Credential OD
Medical School PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1989
Primary Specialty OPTOMETRY
Group Practice PAC ID 4688747520
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2092 32nd Ave Ne, Issaquah, WA 98029-7349 4253699975 DEAN RISKEDAHL OD PS
134 188th S St, Spanaway, WA 98387-4618 2538472304 COMMUNITY HEALTH CARE

Organization Information

Organization Legal Name DEAN RISKEDAHL OD PS
Physicians 1

Office Location

Street Address 2092 32ND AVE NE
City ISSAQUAH
State WA
Zip 98029-7349

Competitor

Search similar physicians

City ISSAQUAH
Zip Code 98029
Specialty OPTOMETRY
City + Specialty ISSAQUAH + OPTOMETRY

Improve Information

Please comment or provide details below to improve the information on .

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.