Individual provider Active NPI

Allison Kuo, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1740816768
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61149900 Issued in WA
Practice address
1100 9TH Ave
Seattle, WA 98101-2756
Phone
(206) 223-6840
Fax
(206) 223-6965
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4523 OR
Optometrist 152W00000X 34549 CA
Optometrist 152W00000X OD61149900 WA Primary

Addresses

Primary practice location

1100 9TH Ave
Seattle, WA 98101-2756

Mailing address

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6840

Other practice location 1

2914 E Madison St Ste 109
Seattle, WA 98112-4271
Phone (206) 333-0564

Other practice location 2

4300 Talbot Rd S Ste 400
Renton, WA 98055-6238
Phone (425) 235-9911

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
I20210518000418 WA Practitioner - Optometry 8921417296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34549CAMDOptometrist
4523ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a. Sifrit OD, Faao & Associates Inc. Optometrist CurrentSince Jul 3, 2021 Accepting new patients
Jason a Sifrit & Associates CurrentSince Jul 3, 2021 Accepting new patients
Virginia Mason Medical Center Optometrist CurrentSince Sep 8, 2022 Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 8, 2022 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

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

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

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

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1740816768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6840",
            "fax_number": "206-223-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6840",
            "fax_number": "206-223-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2914 E Madison St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981124271",
            "country_code": "US",
            "telephone_number": "206-333-0564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Talbot Rd S Ste 400",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980556238",
            "country_code": "US",
            "telephone_number": "425-235-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "ALLISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4523",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34549",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61149900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.