| NPI | 1629189915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE CHARLES BALOGH Sole Member 425-641-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00003985) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |