Active NPI
Richard R Stout, MD
- Ophthalmology Physician
- Geneva, NY
National Provider Identifier
1235198714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 225735
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141751CR | Other | PREFERRED CARE OPTION | |
| 201178047 | Other | SIDNEY HILLMAN | |
| 4086529 | Other | AETNA | |
| 7702618 | Other | DOCTORS HEALTH PLAN | |
| P00141516 | Other | RAILROAD MEDICARE | |
| 201178047 | Other | GROUP HEALTH INCORPORATED | |
| P010225735 | Other | MONROE PLAN | |
| 201178047 | Other | UNITED HEALTH CARE EMPIRE | |
| 82636 | Other | FIRST HEALTH | |
| 201178047 | Other | POMCO | |
| 201178047 | Other | TRICARE | |
| 201178047 | Other | UNITED HEALTH CARE | |
| P010225735 | Other | EXCELLUS BCBS | |
| P010225735 | Other | HEALTHY NY | |
| 141751CR | Other | PREFERRED CARE | |
| 201178047 | Other | WORKERS COMPENSATION | |
| 7700447 | Other | MVP 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225735 | NY | MD | Eyewear Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Western New York Medical Practice PC | Current | 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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Ophthalmology Physician
- Geneva, NY
- NPI 1275671778
-
- Obstetrics & Gynecology Physician
- Warsaw, NY
- NPI 1306214689
-
dba Anthone Eye Center
- Ophthalmology Physician
- Williamsville, NY
- NPI 1831181528
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.