Individual provider Active NPI

Jason Alan Sifrit, O.D., F.A.A.O.

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1104898014
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00004177 Issued in WA
Practice address
3000 184TH St SW Ste 206
Lynnwood, WA 98037-4769
Phone
(425) 776-8234
Fax
(425) 776-8481
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00004177 WA Primary
Optometrist 152W00000X OPC4062 FL

Addresses

Primary practice location

3000 184TH St SW Ste 206
Lynnwood, WA 98037-4769

Mailing address

430 Bellevue Way SE Apt 106
Bellevue, WA 98004-6660
Phone (904) 504-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000722 WA Practitioner - Optometry 9436125051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason a Sifrit and AssociatesGroup PAC ID 6406262724, 3 clinicians
Jason a. Sifrit OD, Faao and Associates Inc.Group PAC ID 1557416534, 4 clinicians

Practice addresses (Care Compare)

2914 E Madison St
Suite 109
Seattle, WA 98112-4271
Phone (206) 940-4179

4300 Talbot Rd S
Renton, WA 98055-6238
Phone (425) 235-9911

Merit-based Incentive Payment System (MIPS)

Final score
83.03 of 100Reported as individual
Quality
66.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4062FLMDOptometrist
OD00004177WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a. Sifrit OD, Faao & Associates Inc. Optometrist CurrentSince Aug 26, 2009 Accepting new patients
Jason a Sifrit & Associates CurrentSince Feb 1, 2021 Accepting new patients

Locations

3000 184th St SW
Ste 206
Lynnwood, WA 98037
Phone (425) 775-6069

3915 Talbot Rd S
Ste 209
Renton, WA 98055
Phone (425) 235-9911

4300 Talbot Rd S
Ste 400
Renton, WA 98055
Phone (425) 235-9911

2914 E Madison St
Ste 109
Seattle, WA 98112
Phone (206) 333-0564

Interoperability endpoints

  • Direct secure messaging: jason.sifrit@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1104898014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BELLEVUE WAY SE APT 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046660",
            "telephone_number": "904-504-7121",
            "fax_number": "425-776-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 184TH ST SW STE 206",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374769",
            "telephone_number": "425-776-8234",
            "fax_number": "425-776-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFRIT",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004177",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.