Organization Active NPI

Binyon Optometrists, Inc .PS

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1245412014
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1381 Issued in WA
Legal business name
BINYON OPTOMETRISTS, INC .PS
Practice address
411 E Magnolia St
Bellingham, WA 98225-4510
Phone
(360) 647-2020
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Mark McEathron, O.D.
Title
Owner
Phone
(360) 647-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1381 WA Primary

Addresses

Primary practice location

411 E Magnolia St
Bellingham, WA 98225-4510

Mailing address

411 E Magnolia St
Bellingham, WA 98225-4510

Other identifiers 1

IdentifierTypeStateIssuer
2027548MedicaidWA

National Provider Directory

National Provider Directory

Locations

411 E Magnolia St
Bellingham, WA 98225
Phone (360) 647-2020

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1245412014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MAGNOLIA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MAGNOLIA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254510",
            "telephone_number": "360-647-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINYON OPTOMETRISTS, INC .PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MCEATHRON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-647-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027548",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.