Active NPI
Jason Alan Sifrit, O.D., F.A.A.O.
- Optometrist
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00004177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 66.06
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4062 | FL | MD | Optometrist |
| OD00004177 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason a. Sifrit OD, Faao & Associates Inc. | Optometrist | Current | Accepting new patients |
| Jason a Sifrit & Associates | Current | 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
- 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.
-
- Optometrist
- Renton, WA
- NPI 1558591727
-
- Corneal and Contact Management Optometrist
- Seattle, WA
- NPI 1164011458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.