Individual
RICHARD R STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 MASON ST, GENEVA, NY 14456-1104
(315) 789-3937
(315) 789-2616
Mailing address
70 MASON ST, GENEVA, NY 14456-1104
(315) 789-3937
(315) 789-2616
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
225735
NY
332H00000X
Eyewear Supplier
225735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141751CR
PREFERRED CARE OPTION
—
01
—
201178047
GROUP HEALTH INCORPORATED
—
01
—
4086529
AETNA
—
01
—
7700447
MVP SELECT CARE
—
01
—
7702618
DOCTORS HEALTH PLAN
—
01
—
82636
FIRST HEALTH
—
01
—
P00141516
RAILROAD MEDICARE
—
01
—
P010225735
EXCELLUS BCBS
—
Enumeration date
03/22/2006
Last updated
01/23/2014
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