Etienne Bingham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

246532 Issued in AK

Practice address

625 S Cobb St Ste 101
Palmer, AK 99645-6480

Phone

(907) 745-2273

Fax

(907) 745-2312

NPI assigned

Jul 25, 2023

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Darrell E Genstler MD PCGroup PAC ID 3870499163, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: etienne.bingham.p1@direct.genstlereyecenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genstler Eye Center

  • Ophthalmology Physician
  • Albany, OR
  • NPI 1124125596

  Optometrist

  Medicare reassignment Care Compare group NPD
• Lodestar Family Eye Care, PC

  • Optometrist
  • Palmer, AK
  • NPI 1659795797
  NPD
• Darrell E Genstler MD PC

  dba The EyeWear Pavilion

  • Eyewear Supplier
  • Albany, OR
  • NPI 1700982006
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1184305013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 E TRENNIE LOOP UNIT 2",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459160",
            "telephone_number": "907-707-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S COBB ST STE 101",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456480",
            "telephone_number": "907-745-2273",
            "fax_number": "907-745-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "ETIENNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "246532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faythe Y Bettis
• Natalie J Beyeler, D.O.
• BHS Counseling Services, LLC
• Jennifer Lee Billinger
• Abby Bingham
• Bionic Chiropractic
• Ryan A Biornstad, M.D.
• Birch Medical Billing, LLC (Birch Medical Billing)
• Birchtree Residential Care LLC
• Colsie Nicole Biswell, LMT

• Optometrist in Palmer, AK
• Providers in Palmer, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.