Chad Ryan Bouterse is a Clarkston, Washington based male Ophthalmologist with 19 years of experience in Ophthalmology. He completed his graduation from Michigan State University College Of Osteopathic Medicine in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Chad Ryan Bouterse is OP60127012 for Ophthalmology in Washington. Chad Ryan Bouterse is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Chad Ryan Bouterse speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
D.O.
Experience:
19+ years
Medical School Attended:
Michigan State University College Of Osteopathic Medicine
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
500 Port Dr, Clarkston, Washington, 99403-1835
Phone:
509-758-8811
Fax:
509-751-1188
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0648321224
Enrollment ID:
I20100225000087
NPI Number:
1699896167
NPI Enumeration Date:
03 Apr, 2007
NPI Last Update On:
28 May, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chad Ryan Bouterse are as mentioned below.
License Number
Specialization
State
Status
OP60127012
Ophthalmology
Washington
Primary
5101016467
Ophthalmology
Michigan
Secondary
O 570
Ophthalmology
Idaho
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Chad Ryan Bouterse has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eye Care Specialists Ps (3779473723)
2
Eye Care Specialists Ps (3779473723)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Chad Ryan Bouterse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0080BO
Other
ASURIS - CLARKSTON
1699896167
Other
FEDERAL BLUE CROSS
808567101
Other
Idaho
MEDICAID - PULLMAN
258958
Other
Washington
WASHINGTON LABOR & INDUSTRY
808567100
Other
Idaho
MEDICAID - CLARKSTON
1699896167
Other
PREMERA BLUE CROSS
0081BO
Other
ASURIS - PULLMAN
O 0570
Other
Idaho
STATE LICENSE
OP60127012
Other
Washington
STATE LICENSE
1699896167
Other
REGENCE BLUE SHIELD
1699896167
Other
BLUE CROSS OF IDAHO
8564387
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
500 Port Dr, Clarkston, Washington
Zip:
99403-1835
Phone Number:
509-758-8811
Fax Number:
509-751-1188
Patients can reach Chad Ryan Bouterse at 500 Port Dr, Clarkston, Washington or can call to book an appointment on 509-758-8811. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.