Organization Active NPI

Binyon Vision Center Inc

  • Optometrist
  • Burien, WA
National Provider Identifier
1255575403
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60003965 Issued in WA
Legal business name
BINYON VISION CENTER INC
Practice address
401 SW 153Rd St
Burien, WA 98166-2247
Phone
(206) 244-1780
Fax
(206) 433-6040
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Cathy Pham GieseNPI 1780643809
Title
President
Phone
(206) 244-1780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 60003965 WA Primary

Addresses

Primary practice location

401 SW 153Rd St
Burien, WA 98166-2247

Mailing address

401 SW 153Rd St
Burien, WA 98166-2247
Phone (206) 244-1780

Other names 2

  • Binyon Vision Center Doing business as
  • Jennifer Weaver Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000448 WA Part B Supplier - Clinic/Group Practice 7012061369 Receives reassigned benefits from 2 practitioners
Practice locations: Burien, WA

National Provider Directory

National Provider Directory

Locations

401 SW 153rd St
Ste A
Burien, WA 98166
Phone (206) 244-1780

401 SW 153rd St
Burien, WA 98166
Phone (206) 244-1780

Practitioners & affiliated clinicians

Practitioners 2

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": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1255575403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 153RD ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662247",
            "telephone_number": "206-244-1780",
            "fax_number": "206-433-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 153RD ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662247",
            "telephone_number": "206-244-1780",
            "fax_number": "206-433-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINYON VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-244-1780"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60003965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Binyon Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jennifer Weaver Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jennifer Weaver Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.