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General NPI Number Information
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NPI Number | 1114080884
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Entity Type | Organization
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Legal Business Name | CHOUS EYE CARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6720 REGENTS BLVD
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City | TACOMA
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State | WA
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Zip | 98466-5400
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Country | US
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Telephone | 253-565-9403
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Fax | 253-564-5637
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Provider Business Mailing Address
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Address Line | 25300 LAKE WILDERNESS COUNTRY CLUB DR SE
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-6003
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Country | US
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Telephone | 425-432-5929
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Fax | 425-432-5929
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH CHOUS
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Credential | O.D.
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Telephone | 425-432-5929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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