# JASON A SIFRIT & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164011458
- **Authorized official:** JENNIFER LEE MCGUIRE (CREDENTIALING MANAGER)
- **Authorized official phone:** (206) 724-7047

## Contact information

- **Practice address:** 2914 E MADISON ST STE 109, SEATTLE, WA 98112-4271
- **Practice address phone:** (206) 333-0564
- **Practice address fax:** (206) 333-0565
- **Mailing address:** 2914 E MADISON ST STE 109, SEATTLE, WA 98112-4271
- **Mailing address phone:** (206) 333-0564
- **Mailing address fax:** (206) 333-0565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2021
- **Last updated:** 04/21/2021

## 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 |