Nico Rouse Corporation PC

NPI #1023182821 in Elmendorf Afb, Alaska

Provider Information

NPI Number: 1023182821
Entity Type: Organization
Organization Name: Nico Rouse Corporation PC
Primary Specialty: Optometrist
Enumeration Date: Nov 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5800 WESTOVER AVE
City: Elmendorf Afb
State: Alaska
ZIP Code: 99506-1603
Phone: (907) 753-7515

Authorized Official

Name: CRAIG FORREST ROUSE, O.D.
Title: PRESIDENT
Phone: (360) 790-1669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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