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Organization
JASON A SIFRIT & ASSOCIATES
Active
Organization
JASON A SIFRIT & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE MCGUIRE (CREDENTIALING MANAGER)
(206) 724-7047
Entity
Organization
Contact information
Practice address
2914 E MADISON ST STE 109, SEATTLE, WA 98112-4271
(206) 333-0564
(206) 333-0565
Mailing address
2914 E MADISON ST STE 109, SEATTLE, WA 98112-4271
(206) 333-0564
(206) 333-0565
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0317945
LABOR & INDUSTRIES
WA
05
—
1060138
—
WA
05
—
1104898014
—
WA
01
—
11619755
CAQH
WA
01
—
152W00000X
HUMANA
WA
05
—
21326723
—
WA
Enumeration date
01/12/2021
Last updated
04/21/2021
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