Craig Rouse, | |
8160 Freedom Ln Ne, Suite D, Lacey, WA 98516-4753 | |
(360) 455-4425 | |
(360) 455-3200 |
Full Name | Craig Rouse |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 27 Years |
Location | 8160 Freedom Ln Ne, Lacey, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720021330 | NPI | - | NPPES |
202160317 | Other | AK | TRICARE PIN # |
4536RO | Other | REGENCE BLUE SHIELD PIN | |
721551995 | Other | WA | TRICARE PIN # |
410048942 | Other | RAILROAD MEDICARE PIN # | |
7283193 | Other | AETNA PPO PROVIDER # | |
OD2260 | Medicaid | AK | |
P00327511 | Other | WA | MEDICARE RAILROAD CARRIER GROUP # DE9528 |
3183314 | Other | AETNA HMO PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00003743 (Washington) | Secondary |
152W00000X | Optometrist | 226 (Alaska) | Secondary |
152W00000X | Optometrist | MR0424806 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aeg Washington Professional Pc | 3476927997 | 18 |
Provider Name | Nico Rouse Corporation Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215103288 PECOS PAC ID: 5496776486 Enrollment ID: O20051219000458 |
Provider Name | Aeg Washington Professional Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134835176 PECOS PAC ID: 3476927997 Enrollment ID: O20230324001321 |
Mailing Address | Practice Location Address |
---|---|
Craig Rouse, 9321 Milburn Loop Se, Lacey, WA 98513-3420 Ph: (360) 790-1669 | Craig Rouse, 8160 Freedom Ln Ne, Suite D, Lacey, WA 98516-4753 Ph: (360) 455-4425 |
Mrs. Michelle Renee Durham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Phone: 360-459-3335 Fax: 360-459-2724 | |
Shopko Optical 113 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 Martin Way E, Lacey, WA 98516 Phone: 360-456-4532 | |
Dr. Carrie Leann Watters, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2539 Marvin Rd. Ne Suite B, Lacey, WA 98516 Phone: 360-459-3333 Fax: 360-459-2724 | |
Dane Tosland, Optometrist Medicare: Medicare Enrolled Practice Location: 5321 Corporate Center Loop Se, Lacey, WA 98503 Phone: 360-459-2108 | |
Dr. Joseph W Glandon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1401 Galaxy Dr Ne, Lacey, WA 98516 Phone: 360-456-7867 | |
Aron Piranio, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Phone: 360-459-3333 Fax: 360-459-2724 | |
Mrs. Constance Howe, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Phone: 360-459-3333 Fax: 360-459-2724 |