Organization
WILLIAM BALOGH
Active
Other names
BINYON OPTOMETRISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA L BURGOS (OFFICE MANAGER)
(253) 272-2136
Entity
Organization
Contact information
Practice address
1135 BROADWAY, SUITE 101, TACOMA, WA 98402-3535
(253) 272-2136
(253) 272-6151
Mailing address
1135 BROADWAY, SUITE 101, TACOMA, WA 98402-3535
(253) 272-2136
(253) 272-6151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
O.D.00001030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051209
—
WA
01
—
3908
DAVIS VISION
WA
01
—
BA3098
REGENCE
WA
01
—
WA0042
NBN
WA
Enumeration date
11/20/2006
Last updated
08/22/2020
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