| NPI | 1407935513 |
|---|---|
| Doing Business As | NORTHWEST VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK D BALTER Doctor, Owner 206-789-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 1411 TX) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA 1411 TX) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-30 |