Individual
JASON RANDALL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040A JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
1821 44TH STREET CT NW, GIG HARBOR, WA 98335-1427
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
R6036
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
OP61442310
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
R6036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386074401
—
TX
01
—
386074402
CSHCN
TX
Enumeration date
03/07/2014
Last updated
01/13/2026
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