Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacie Zollman

Individual provider Optometrist · NPI 1124373410

Dr. Stacie Zollman is an Optometry in Moscow, Idaho. Graduated from Pacific University - College of Optometry in 2013, 13 years ago. Practices with Wilson Polito PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2012

Practice location Address checks out

872 Troy Rd Ste 130
Moscow, ID 83843-5035
Phone: (208) 883-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100284 (ID)

Record details

NPI number1124373410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESNovember 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Wilson Polito Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moscow