Provider Demographics
NPI:1114080884
Name:CHOUS EYE CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CHOUS EYE CARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:425-432-5929
Mailing Address - Street 1:25300 LAKE WILDERNESS COUNTRY CLUB DR SE
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-6003
Mailing Address - Country:US
Mailing Address - Phone:425-432-5929
Mailing Address - Fax:425-432-5929
Practice Address - Street 1:6720 REGENTS BLVD
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98466-5400
Practice Address - Country:US
Practice Address - Phone:253-565-9403
Practice Address - Fax:253-564-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty