Active NPI
Carl N Stout Jr., MD
- Ophthalmology Physician
- Independence, MO
National Provider Identifier
1023001393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD32847
- Practice address
- 4741 S Cochise Dr
Discover Vision Centers
Independence, MO 64055-6974 - Phone
- (816) 478-1230
- Fax
- (816) 478-4413
- NPI assigned
- Aug 23, 2005
- Last updated
- Dec 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD32847 | MO | Primary |
| Ophthalmology Physician | 207W00000X | 0415510 | KS |
Addresses
Primary practice location
4741 S Cochise Dr
Discover Vision Centers
Independence, MO 64055-6974
Mailing address
4801 S Cliff Ave
Suite 100
Independence, MO 64055-7015
Phone (816) 478-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0415510 | KS | MD | Ophthalmology Physician |
| MD32847 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care, LLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1023001393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S CLIFF AVE",
"address_2": "SUITE 100",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557015",
"telephone_number": "816-478-1230",
"fax_number": "816-478-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4741 S COCHISE DR",
"address_2": "DISCOVER VISION CENTERS",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556974",
"telephone_number": "816-478-1230",
"fax_number": "816-478-4413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "CARL",
"middle_name": "N",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "MD32847",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "0415510",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.