Provider Demographics
NPI:1255575403
Name:BINYON VISION CENTER INC
Entity type:Organization
Organization Name:BINYON VISION CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:PHAM
Authorized Official - Last Name:GIESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-244-1780
Mailing Address - Street 1:401 SW 153RD ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2247
Mailing Address - Country:US
Mailing Address - Phone:206-244-1780
Mailing Address - Fax:206-433-6040
Practice Address - Street 1:401 SW 153RD ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2247
Practice Address - Country:US
Practice Address - Phone:206-244-1780
Practice Address - Fax:206-433-6040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60003965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty