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DR. VALERIE J. BALOGH O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1154474179

Individual Registrant:
DR. VALERIE J. BALOGH O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3737 45TH ST  HIGHLAND, IN 46322-3008 US
Tel: 219-924-6300  Fax: --

Contact information for business:
3737 45TH ST  HIGHLAND, IN 46322-3008 US
Tel: 219-924-6300  Fax: --

Registration Information:
NPI: 1154474179
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
IN18002093

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICARE410007399IN01




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