Provider Demographics
NPI:1801277371
Name:BINSTOCK, JEFFREY (OD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:BINSTOCK
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 1:16150 NE 85TH ST
Mailing Address - Street 2:STE 206
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3543
Mailing Address - Country:US
Mailing Address - Phone:425-885-3574
Mailing Address - Fax:425-881-0230
Practice Address - Street 1:16150 NE 85TH ST
Practice Address - Street 2:206
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3539
Practice Address - Country:US
Practice Address - Phone:425-885-3574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60553429152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist