Provider Demographics
NPI:1225066590
Name:BINNS, STEVEN WYLIE (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:WYLIE
Last Name:BINNS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 SCIOTO TRL
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2244
Mailing Address - Country:US
Mailing Address - Phone:740-353-2020
Mailing Address - Fax:740-353-2020
Practice Address - Street 1:2808 SCIOTO TRL
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2244
Practice Address - Country:US
Practice Address - Phone:740-353-2020
Practice Address - Fax:740-353-2020
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3845T768152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2102414Medicaid
OH2102414Medicaid
OHU61212Medicare UPIN