Individual provider Active NPI

Elizabeth Klasch Chous, O.D.

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1760482772
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2048TX Issued in WA
Practice address
6720 Regents Blvd
Tacoma, WA 98466-5400
Phone
(253) 565-9403
Fax
(425) 432-5929
NPI assigned
Aug 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2048TX WA Primary

Addresses

Primary practice location

6720 Regents Blvd
Tacoma, WA 98466-5400

Mailing address

6720 Regents Blvd
Tacoma, WA 98466
Phone (253) 565-9403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000828 WA Practitioner - Optometry 1254324312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chous Eye Care Associates IncGroup PAC ID 1355334517, 2 clinicians

Practice addresses (Care Compare)

6720 Regents Blvd
Tacoma, WA 98466-5400
Phone (253) 565-9403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2048TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chous Eye Care Associates, Inc. Optometrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

6720 Regents Blvd
University Place, WA 98466
Phone (253) 565-9403

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1760482772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 REGENTS BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-565-9403",
            "fax_number": "253-565-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 REGENTS BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984665400",
            "telephone_number": "253-565-9403",
            "fax_number": "425-432-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUS",
        "first_name": "ELIZABETH",
        "middle_name": "KLASCH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2048TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.