NPI 1023182821

Nico Rouse Corporation PC

Organisation Optometrist Elmendorf Afb, AK

Practice location

Address: 5800 Westover Ave, Elmendorf Afb, AK 99506-1603
Phone: (907) 753-7515
Fax: (907) 753-7585
Mailing address: 9321 Milburn Loop SE, Lacey, WA 98513-3420

Authorised official

Name: Craig Forrest Rouse
Title: President
Phone: (360) 790-1669

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 226 (AK)

Other Optometrist providers in Alaska →

Registry record

NPI: 1023182821
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.