Organization
MARK DAVID BALTER OD, PS
Active
Other names
Northwest Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D BALTER OD (DOCTOR, OWNER)
(206) 789-7417
Entity
Organization
Contact information
Practice address
2201 NW MARKET ST, SEATTLE, WA 98107-4025
(206) 789-7417
(206) 789-7651
Mailing address
2201 NW MARKET ST, SEATTLE, WA 98107-4025
(206) 789-7417
(206) 789-7651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1411 TX
WA
152WC0802X
Corneal and Contact Management Optometrist
1411 TX
WA
Other
Enumeration date
11/02/2006
Last updated
01/30/2008
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