Chad Bouterse, D.O.
Chad Bouterse, D.O. is an Ophthalmology Physician in Clarkston, WA, registered under NPI 1699896167.
Getting there
The practice address on file is 500 PORT DR, Clarkston, WA 99403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OP60127012 | WA | Ophthalmology Physician primary |
| 5101016467 | MI | Ophthalmology Physician |
| O 570 | ID | Ophthalmology Physician |
Licences are recorded in 3 states: WA, MI, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Ophthalmology
- PAC ID
- 0648321224
Medicare enrolment is recorded as approved under the provider type Practitioner - Ophthalmology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Idaho, Michigan and Washington. The practice address on file is in Clarkston, WA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- OP60127012
- Specialty
- Ophthalmology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Ophthalmology covers
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are 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, an ophthalmologist prescribes vision services, including glasses and contact lenses. NUCC Health Care Provider Taxonomy, code 207W00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | OP60127012 | WA | primary |
| 207W00000X | Ophthalmology Physician | 5101016467 | MI | |
| 207W00000X | Ophthalmology Physician | O 570 | ID |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1699896167 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 3, 2007 |
| Last updated | May 28, 2010 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.O. |
| Practice address |
500 PORT DR Clarkston, WA 99403 (509) 758-8811 Fax (509) 751-1188 |
| Other identifiers |
0080BO
· ASURIS - CLARKSTON 1699896167 · FEDERAL BLUE CROSS 808567101 · MEDICAID - PULLMAN (ID) 258958 · WASHINGTON LABOR & INDUSTRY (WA) 808567100 · MEDICAID - CLARKSTON (ID) 1699896167 · PREMERA BLUE CROSS 0081BO · ASURIS - PULLMAN O 0570 · STATE LICENSE (ID) OP60127012 · STATE LICENSE (WA) 1699896167 · REGENCE BLUE SHIELD 1699896167 · BLUE CROSS OF IDAHO 8564387 (WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 9 | 9 | 8 | 9 | 6 | 1 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 9 | 9 | 7 | 9 | 3 | 1 | 3 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.