Individual provider Active NPI

Jason Randall Lewis, D.O.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Tacoma, WA
National Provider Identifier
1912323478
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
OP61442310 Issued in WA
Practice address
9040A Jackson Ave
Tacoma, WA 98431-0001
Phone
(253) 968-1110
NPI assigned
Mar 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R6036 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X R6036 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X OP61442310 WA Primary

Addresses

Primary practice location

9040A Jackson Ave
Tacoma, WA 98431-0001

Mailing address

1821 44TH Street CT NW
Gig Harbor, WA 98335-1427

Other practice location 1

8901 Rockville Pike
Bethesda, MD 20889
Phone (301) 295-1339

Other practice location 2

345 College St SE Ste C
Lacey, WA 98503-1014
Phone (360) 456-3200

Other practice location 3

8300 Floyd Curl Dr Fl 6
San Antonio, TX 78229-3931
Phone (210) 450-9400

Other identifiers 2

IdentifierTypeStateIssuer
386074402OtherTXCSHCN
386074401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180710000253 TX Practitioner - Ophthalmology 0446506224 Reassigns benefits to 1 organization
I20240701002671 WA Practitioner - Ophthalmology 0446506224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Aesthetic Surgery Centre PLLCGroup PAC ID 4688841851, shared by 2 NPIs, 6 clinicians
Eye Physicians of Olympia Inc PSGroup PAC ID 8123916962, 13 clinicians
PNW Eye PLLCGroup PAC ID 0840458261, 10 clinicians

Practice addresses (Care Compare)

2202 S Cedar St
Suite 100
Tacoma, WA 98405-2318
Phone (253) 627-2900

345 College St SE
Suite C
Lacey, WA 98503-1014
Phone (360) 456-3200

4700 Point Fosdick Dr
Suite 112
Gig Harbor, WA 98335-1706
Phone (253) 858-5186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Olympia Inc PS CurrentSince Jan 1, 2025 Accepting new patients
PNW Eye PLLC CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Ophthalmology Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2018 Accepting new patients
PNW Eye, PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Eye Physicians of Olympia Inc PS Ophthalmology CurrentSince Jan 1, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2018 Accepting new patients

Locations

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

8300 Floyd Curl Dr
Fl 6
San Antonio, TX 78229
Phone (210) 450-9400

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4700 Point Fosdick Dr
Ste 112
Gig Harbor, WA 98335
Phone (206) 505-1101

345 College St SE
Ste A
Olympia, WA 98503
Phone (360) 456-7070

215 Lilly Rd NE
Olympia, WA 98506
Phone (360) 456-3200

345 College St SE
Ste C
Olympia, WA 98503
Phone (360) 456-3200

3602 S 19th St
Tacoma, WA 98405
Phone (253) 759-5555

Interoperability endpoints

  • Direct secure messaging: jlewis@pnwe.intellechartdirect.net
  • Direct secure messaging: jlewis@directaddress.net

Organizations & group practices 7

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1912323478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 44TH STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "20889",
            "country_code": "US",
            "telephone_number": "301-295-1339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 College St SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031014",
            "country_code": "US",
            "telephone_number": "360-456-3200",
            "fax_number": "360-923-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Floyd Curl Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293931",
            "country_code": "US",
            "telephone_number": "210-450-9400",
            "fax_number": "210-450-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JASON",
        "middle_name": "RANDALL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R6036",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R6036",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "OP61442310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "386074402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386074401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.