Provider Demographics
NPI:1851391866
Name:CHOUS, ALAN PAUL (OD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PAUL
Last Name:CHOUS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:ALAN
Other - Last Name:CHOUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
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:425-736-6251
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:425-432-5929
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2045TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA185406Medicare ID - Type Unspecified
WAU25541Medicare UPIN