Organization
RICHARD L. STOUT, O.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. STOUT O.D. (PRESIDENT)
(765) 362-8606
Entity
Organization
Contact information
Practice address
502 E MAIN ST, CRAWFORDSVILLE, IN 47933-1812
(765) 362-8606
(765) 362-8779
Mailing address
502 E MAIN ST, CRAWFORDSVILLE, IN 47933-1812
(765) 362-8606
(765) 362-8779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001770A
IN
152W00000X
Optometrist
18002826A
IN
Other
Enumeration date
10/18/2006
Last updated
01/05/2010
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