Nico Rouse Corporation P S

NPI #1215103288 in Mcchord Afb, Washington

Provider Information

NPI Number: 1215103288
Entity Type: Organization
Organization Name: Nico Rouse Corporation P S
Primary Specialty: Optometrist
Enumeration Date: Apr 30, 2008
Last Updated: Jun 26, 2017

Practice Location

Address: 504 A STREET
City: Mcchord Afb
State: Washington
ZIP Code: 98438-1304
Phone: (253) 588-1731

Authorized Official

Name: DR. CRAIG ROUSE
Title: PRESIDENT
Phone: (369) 790-1669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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