DRS Green and Sundholm ENT Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRS GREEN AND SUNDHOLM ENT INC PS

Doing business as

Binyon Optometrists

Practice address

2522 Colby Ave
Everett, WA 98201

Phone

(425) 252-1231

Fax

(425) 257-9881

NPI assigned

Aug 6, 2007

Organization subpart

Yes

Parent organization

DRS GREEN AND SUNDHOLM ENT INC PSAs reported in NPPES

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

Authorized official

Name

Dr. Jeffry Alan Green, ODNPI 1386735264

Title

Optometrist Owner

Phone

(425) 252-1231

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Binyon Optometrists Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffry Alan Green, OD

  • Optometrist
  • Everett, WA
  • NPI 1386735264
  NPD (past) Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1235320136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-252-1231",
            "fax_number": "425-257-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-252-1231",
            "fax_number": "425-257-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GREEN AND SUNDHOLM ENT INC PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS GREEN AND SUNDHOLM ENT INC PS",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "425-252-1231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020634",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Binyon Optometrists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance Driscoll, CDP
• Lisa Lynn Driscoll, SUDP
• Meaghan Driscoll
• Joseph Richard Dronchi
• Joseph Mark Drosdeck, M.D.
• Drug Abuse Council of Snohomish County
• Judah Crutial Drury
• DRX Wa Urgent Care Providers, PLLC
• Danielle Ami Du Nann, OTR/L
• Tongxuan Du

• Optometrist in Everett, WA
• Providers in Everett, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.