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Organization

JON C CONVERSE INC PS

Active
Other names
Binyon Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
JON CHARLES CONVERSE OD (PRESIDENT OPTOMETRIST)
(206) 622-4828
Entity
Organization

Contact information

Practice address
1905 4TH AVENUE, SEATTLE, WA 98101
(206) 622-4828
(504) 910-0693
Mailing address
1905 4TH AVENUE, SEATTLE, WA 98101
(206) 622-4828
(504) 910-0693

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2019255
WA
Enumeration date
11/27/2006
Last updated
11/27/2007
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