CHOUS EYE CARE ASSOCIATES, INC. – Optometrist, NPI 1114080884
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHOUS EYE CARE ASSOCIATES, INC.
25300, Lake Wilderness Country Club Drive Southeast, Lake Wilderness Country Club, Wilderness, Maple Valley, King County, Washington, 98038, United States
MAPLE VALLEY, WA 980386003
Phone: (425) 432-5929
Fax: (425) 432-5929
Type: Mailing
Gracie Barra Tacoma, 1109, Regents Boulevard, Fircrest, Pierce County, Washington, 98466, United States
TACOMA, WA 984665400
Phone: (253) 565-9403
Fax: (253) 564-5637
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-04-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1051 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040405001376 | O | Clinic/Group Practice | WA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98038)
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