NICO ROUSE CORPORATION P S NPI 1699941393

NPI Information

NPI: 1699941393
Provider Name: NICO ROUSE CORPORATION P S
Classification:
Entity Type: Organization
Address:
8160 FREEDOM LN NE
SUITE D
LACEY, WA
ZIP 98516
Phone: (360) 790-1669
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NICO ROUSE CORPORATION P S is a healthcare provider in Lacey, WA. NICO ROUSE CORPORATION P S NPI is 1699941393. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8160 FREEDOM LN NE
SUITE D
LACEY, WA
ZIP 98516-753
Phone: (360) 790-1669

The provider's authorized official is Craig 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 5/2/2008 and was last updated on 7/19/2017.

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
1	152W00000X	Optometrist		OD00003743	WASHINGTON	No

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
1	4536RO	OTHER		REGENCE BLUE SHIELD
2	3183314	OTHER		AETNA HMO
3	G8857649	MEDICARE PIN	WASHINGTON
4	P00327511 DE9528	OTHER	WASHINGTON	RAILROAD MEDICARE PART B
5	G8857648	MEDICARE PIN
6	U72983	MEDICARE UPIN
7	7283193	OTHER		AETNA PPO

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: 4/28/2024

NPI Synchronization or Removal

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