Organization
DR. WILLIAM BALOGH
Active
Other names
CENTER PLAZA VISION CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA L BURGOS (OFFICE MANAGER)
(253) 839-1610
Entity
Organization
Contact information
Practice address
2016 S 320TH ST, SUITE E, FEDERAL WAY, WA 98003-5453
(253) 839-1610
(253) 839-0755
Mailing address
2016 S 320TH ST, SUITE E, FEDERAL WAY, WA 98003-5453
(253) 839-1610
(253) 839-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
O.D.00001030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02781
SPECTERA
WA
05
—
2052900
—
WA
01
—
212835
EYEMED
WA
01
—
3909
DAVIS
WA
01
—
AETNA
44132B
WA
01
—
BA3096
REGENCE
WA
01
—
WA0006
NBN
WA
Enumeration date
11/22/2006
Last updated
08/22/2020
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