Chad Ryan Bouterse, DO
Chad Ryan Bouterse, DO is an Ophthalmology in Clarkston, Washington. Graduated from Michigan State University College of Osteopathic Medicine in 2005, 21 years ago. Practices with Eye Care Specialists Ps, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho, Michigan and Washington.
- Years since qualifying
- 21
- Trained at
- Michigan State University College of Osteopathic Medicine
- Licensed in
- ID, MI, WA
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
500 Port DrClarkston, WA 99403-1835
Phone: (509) 758-8811
Fax: (509) 751-1188
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence OP60127012 (WA) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 5101016467 (MI) |
| Ophthalmology Physician | Taxonomy 207W00000X · Licence O 570 (ID) |
Record details
| NPI number | 1699896167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 3, 2007 |
| Last updated in NPPES | May 28, 2010 |
| Mailing address | 500 Port Dr, Clarkston, WA 99403-1835 |
Medicare enrollment
| Medicare specialty | OPHTHALMOLOGY |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2005 (21 years in practice) |
| Group practice | Eye Care Specialists Ps — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Clarkston
-
Mark T Eggleston, MD
500 Port Dr, Clarkston, WA 99403-1835 · (509) 758-8811
-
Mr. Richard J Eggleston, MD
500 Port Dr, Clarkston, WA 99403-1835 · (509) 758-8811
-
Eye Care Specialists Ps
500 Port Dr, Clarkston, WA 99403-1835 · (509) 758-8811
-
W Richard Herbert MD Ps
617 Diagonal St, Clarkston, WA 99403-2041 · (509) 758-5527