Individual
JASON BC BINNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6626 HYPOLUXO RD, SUITE A4, LAKE WORTH, FL 33467-7676
(561) 966-3808
(561) 966-3191
Mailing address
6626 HYPOLUXO RD, SUITE A4, LAKE WORTH, FL 33467-7676
(561) 966-3808
(561) 966-3191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620506200
—
FL
Enumeration date
10/06/2005
Last updated
07/28/2011
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