Individual provider Active NPI

Benjamin David Crowell, OD, FAAO

  • Optometrist
  • Renton, WA
National Provider Identifier
1316252190
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60239366 Issued in WA
Practice address
2938 NE Sunset Blvd
Renton, WA 98056
Phone
(425) 276-0670
Fax
(425) 276-0677
NPI assigned
Aug 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60239366 WA Primary

Addresses

Primary practice location

2938 NE Sunset Blvd
Renton, WA 98056

Mailing address

2938 NE Sunset Blvd
Renton, WA 98056-3104
Phone (425) 276-0670

Other practice location 1

755 NW Gilman Blvd Ste G
Issaquah, WA 98027
Phone (425) 557-5530

Other practice location 2

17250 Southcenter Pkwy Ste 128
Tukwila, WA 98188-3351
Phone (206) 575-6623

Other identifiers 1

IdentifierTypeStateIssuer
2047671MedicaidWA

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
I20140206000043 WA Practitioner - Optometry 2961673512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Mai X. Nguyen and Associates, PLLCGroup PAC ID 9335319284, 2 clinicians

Practice addresses (Care Compare)

2938 NE Sunset Blvd
Renton, WA 98056-3104
Phone (425) 276-0670

755 NW Gilman Blvd
Suite G
Issaquah, WA 98027-5370
Phone (425) 557-5439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60239366WAMDOptometrist
2191NCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a. Sifrit OD, Faao & Associates Inc. Optometrist CurrentSince Feb 1, 2014 Accepting new patients

Locations

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

523 Pine St
Ste 200
Seattle, WA 98101
Phone (206) 652-9000

Interoperability endpoints

  • Direct secure messaging: ben.crowell@direct.revolutionehr.com

Organizations & group practices 3

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1316252190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563104",
            "telephone_number": "425-276-0670",
            "fax_number": "425-276-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98056",
            "telephone_number": "425-276-0670",
            "fax_number": "425-276-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 NW Gilman Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "98027",
            "country_code": "US",
            "telephone_number": "425-557-5530",
            "fax_number": "425-645-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17250 Southcenter Pkwy Ste 128",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981883351",
            "country_code": "US",
            "telephone_number": "206-575-6623",
            "fax_number": "206-691-8723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60239366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.