NPIMap

Organization Active NPI

Nico Rouse Corporation P S

  • Optometrist
  • McChord Afb, WA
National Provider Identifier
1215103288
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NICO ROUSE CORPORATION P S
Practice address
504 A Street
McChord Afb, WA 98438-1304
Phone
(253) 588-1731
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Dr. Craig RouseNPI 1720021330
Title
President
Phone
(369) 790-1669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

504 A Street
McChord Afb, WA 98438-1304

Mailing address

9321 Milburn Loop SE
Lacey, WA 98513-3420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1215103288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 MILBURN LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985133420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 A STREET",
            "city": "MCCHORD AFB",
            "state": "WA",
            "postal_code": "984381304",
            "telephone_number": "253-588-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICO ROUSE CORPORATION P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "369-790-1669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McChord Afb, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.