Jon C Converse Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JON C CONVERSE INC PS

Doing business as

Binyon Eye Care

Practice address

1905 4TH Avenue
Seattle, WA 98101

Phone

(206) 622-4828

Fax

(504) 910-0693

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Jon Charles Converse, ODNPI 1356523807

Title

President Optometrist

Phone

(206) 622-4828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Binyon Eye Care Doing business as

Locations

Practitioners 2

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

• Jon Charles Converse, OD

  • Optometrist
  • Silverdale, WA
  • NPI 1356523807
  NPD (past) Authorized official
• Kavita Bansil, OD

  • Optometrist
  • Silverdale, WA
  • NPI 1790836955
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1699841361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 4TH AVENUE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-622-4828",
            "fax_number": "504-910-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 4TH AVENUE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-622-4828",
            "fax_number": "504-910-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON C CONVERSE INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "206-622-4828",
        "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": "2019255",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Binyon Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herman H. Joling III, RT (R)
• Sandra N. Jolley, ARNP, PHD
• Anna Jolliff, MS
• Timothy Jolliff, LMHCA
• Daviona Jolly
• Jon K. Okami, LMP
• Jon L. Way DDS, Ms
• Samuel Jonas, BA, MSW CANDIDATE
• Suzanne Jonas, RN
• Perry J Jones III, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.