{
"Npi": {
"NPI": "1851391866",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHOUS",
"FirstName": "ALAN",
"MiddleName": "PAUL",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "O.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CHOUS",
"OtherFirstName": "PAUL",
"OtherMiddleName": "ALAN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "O.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "25300 LAKE WILDERNESS COUNTRY CLUB DR SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAPLE VALLEY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98038-6003",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-736-6251",
"MailingAddressFaxNumber": "425-432-5929",
"FirstLinePracticeLocationAddress": "6720 REGENTS BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TACOMA",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98466-5400",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-565-9403",
"PracticeLocationAddressFaxNumber": "425-432-5929",
"EnumerationDate": "08/01/2005",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "2045TX",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}