Jason Alan Sifrit, O.D., F.A.A.O.
Optometrist in Lynnwood, WA. Individual provider (NPI-1).
NPI number1104898014
StatusActive
Last updated in NPPESJul 20, 2009
Details
- NPI
- 1104898014
- Entity type
- Individual (NPI-1)
- Name
- Jason Alan Sifrit
- Credential
- O.D., F.A.A.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2006
- Last updated
- Jul 20, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD00004177 | WA | Yes |
| 152W00000X | Optometrist | OPC4062 | FL |
Practice location
3000 184th St Sw Ste 206Lynnwood, WA 98037-4769
Phone 425-776-8234 · Fax 425-776-8481
Mailing address
430 Bellevue Way Se Apt 106Bellevue, WA 98004-6660
Phone 904-504-7121 · Fax 425-776-8481
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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