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NICO ROUSE CORPORATION NPI 1417143728


NPI Information

NPI: 1417143728
Provider Name: NICO ROUSE CORPORATION
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
2202 LIGGETT AVENUE
FORT LEWIS, WA
ZIP 98433
Phone: (253) 964-4140
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NICO ROUSE CORPORATION is an optometrist in Fort Lewis, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. NICO ROUSE CORPORATION NPI is 1417143728. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2202 LIGGETT AVENUE
FORT LEWIS, WA
ZIP 98433-500
Phone: (253) 964-4140
Fax: (253) 964-1696

The provider's authorized official is Craig Forrest Rouse .
The authorized official title is President and has the following contact phone number (360) 790-1669.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 4/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOD00004138WASHINGTONNo
2152W00000XOptometristOD00003984WASHINGTONNo
3152W00000XOptometristOD00003743WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13183314OTHERAETNA HMO
27283193OTHERAETNA PPO
34536ROOTHERREGENCE BLUE SHIELD
4P00327511 DE9528OTHERWASHINGTONMEDICARE RAIL ROAD
5U72983MEDICARE UPIN
6G8857649MEDICARE PINWASHINGTON
7=========OTHERWASHINGTONTRICARE PIN#
8G8857648MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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