Mark David Balter OD, PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

1411 TX Issued in WA

Legal business name

MARK DAVID BALTER OD, PS

Practice address

2201 NW Market St
Seattle, WA 98107-4025

Phone

(206) 789-7417

Fax

(206) 789-7651

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark D Balter, OD

Title

Doctor, Owner

Phone

(206) 789-7417

Specialties & licenses 2

Addresses

Other names 1

• Northwest Vision Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1407935513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074025",
            "telephone_number": "206-789-7417",
            "fax_number": "206-789-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074025",
            "telephone_number": "206-789-7417",
            "fax_number": "206-789-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID BALTER OD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BALTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "206-789-7417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1411 TX",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "1411 TX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Lee Maris, MD
• Marissa Ohlstrom, PSYD, PLLC
• David Mariuma, M.D.
• Mark a. Freeman Jeffrey a. Short PLLC
• Mark C Svore DDS
• Mark Ellestad, MD - Psychiatric Services, PLLC
• Mark Germack DDS PLLC
• Mark R McClung MD PC
• Mark R. Grace, D.D.S., PLLC
• Mark S. Jyringi, DC, PS

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.