Individual
DR. RICHARD L. STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388410001
MEDICARE DME
IN
Enumeration date
02/16/2006
Last updated
01/05/2010
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