Individual provider Active NPI

Jason BC Binning, O.D.

  • Optometrist
  • Lake Worth, FL
National Provider Identifier
1184612822
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3213 Issued in FL
Practice address
6169 S Jog Rd Ste A10
Lake Worth, FL 33467-6513
Phone
(561) 966-3808
Fax
(561) 966-3191
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3213 FL Primary

Addresses

Primary practice location

6169 S Jog Rd Ste A10
Lake Worth, FL 33467-6513

Mailing address

6169 S Jog Rd Ste A10
Suite A4
Lake Worth, FL 33467-6513
Phone (561) 966-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040225000880 FL Practitioner - Optometry 2567358674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3213FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason B C Binning O.D., P.a. Optometrist CurrentSince Feb 22, 2007 Accepting new patients

Locations

6169 S Jog Rd
Lake Worth, FL 33467
Phone (561) 223-8024

6169 S Jog Rd
Ste A10
Lake Worth, FL 33467
Phone (561) 966-3808

6626 Hypoluxo Rd
#A4
Lake Worth, FL 33467
Phone (561) 966-3808

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1184612822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD STE A10",
            "address_2": "SUITE A4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676513",
            "telephone_number": "561-966-3808",
            "fax_number": "561-966-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD STE A10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676513",
            "telephone_number": "561-966-3808",
            "fax_number": "561-966-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNING",
        "first_name": "JASON",
        "middle_name": "BC",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.