Organization
RICHARD R STOUT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R STOUT MD (PRESIDENT)
(315) 789-3937
Entity
Organization
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
05
—
02368770
—
NY
01
—
141751CR
PREFERRED ONE
—
01
—
4086529
AETNA
—
01
—
7700447
MVP SELECT CARE
—
01
—
7702618
DOCTORS HEALTH PLAN
—
01
—
82636
FIRST HEALTH
—
01
—
P00141516
RAILROAD MEDICARE
—
01
—
P0100225735
HEALTHY NY
—
Enumeration date
02/05/2007
Last updated
04/20/2008
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