Individual provider Active NPI

Richard R Stout, MD

  • Ophthalmology Physician
  • Geneva, NY
National Provider Identifier
1235198714
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
225735 Issued in NY
Practice address
70 Mason St
Geneva, NY 14456-1104
Phone
(315) 789-3937
Fax
(315) 789-2616
NPI assigned
Mar 22, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 225735 NY
Ophthalmology Physician 207W00000X 225735 NY Primary

Addresses

Primary practice location

70 Mason St
Geneva, NY 14456-1104

Mailing address

70 Mason St
Geneva, NY 14456-1104
Phone (315) 789-3937

Other identifiers 17

IdentifierTypeStateIssuer
141751CROtherPREFERRED CARE OPTION
201178047OtherSIDNEY HILLMAN
4086529OtherAETNA
7702618OtherDOCTORS HEALTH PLAN
P00141516OtherRAILROAD MEDICARE
201178047OtherGROUP HEALTH INCORPORATED
P010225735OtherMONROE PLAN
201178047OtherUNITED HEALTH CARE EMPIRE
82636OtherFIRST HEALTH
201178047OtherPOMCO
201178047OtherTRICARE
201178047OtherUNITED HEALTH CARE
P010225735OtherEXCELLUS BCBS
P010225735OtherHEALTHY NY
141751CROtherPREFERRED CARE
201178047OtherWORKERS COMPENSATION
7700447OtherMVP SELECT CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000350 NY Practitioner - Ophthalmology 7810961174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225735NYMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince May 3, 2021 Accepting new patients
Western New York Medical Practice PC CurrentSince May 3, 2021 Accepting new patients
Eye Health Associates of Western New York PC Ophthalmology Past Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 4

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1235198714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MASON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561104",
            "telephone_number": "315-789-3937",
            "fax_number": "315-789-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MASON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561104",
            "telephone_number": "315-789-3937",
            "fax_number": "315-789-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "RICHARD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "225735",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "225735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE OPTION",
            "identifier": "141751CR",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIDNEY HILLMAN",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4086529",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS HEALTH PLAN",
            "identifier": "7702618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00141516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "P010225735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE EMPIRE",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "82636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P010225735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY NY",
            "identifier": "P010225735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "141751CR",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "201178047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP SELECT CARE",
            "identifier": "7700447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.