Provider Demographics
NPI:1255441366
Name:BINGHAM, PAMELA J (OD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:J
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3101 SW COLLEGE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-237-3768
Practice Address - Fax:352-237-4595
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL5370152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist