Active NPI
Benjamin David Crowell, OD, FAAO
- Optometrist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60239366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047671 | Medicaid | WA |
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OD60239366 | WA | MD | Optometrist |
| 2191 | NC | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason a. Sifrit OD, Faao & Associates Inc. | Optometrist | Current | 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
- 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.
-
- Optometrist
- Renton, WA
- NPI 1558591727
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.