Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jamison R Ridgeley, MD

Individual provider Ophthalmology Physician · NPI 1174780530

Mr. Jamison R Ridgeley, MD is an Ophthalmology in Renton, Washington. Qualified in 2002, 24 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1412 SW 43rd St Ste 206
Renton, WA 98057
Phone: (253) 236-5720
Fax: (425) 988-0168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD60638738 (WA)

Record details

NPI number1174780530
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESNovember 24, 2024
Certification dateNovember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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