Active NPI
Nicole Catherine Stout, O.D.
- Optometrist
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10415TG
- Practice address
- 4000 E US Highway 377
Granbury, TX 76049-7432 - Phone
- (817) 573-7153
- Fax
- (817) 573-5640
- NPI assigned
- Jul 24, 2015
- Last updated
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10415TG | TX | Primary |
Addresses
Primary practice location
4000 E US Highway 377
Granbury, TX 76049-7432
Mailing address
4000 E US Highway 377
Granbury, TX 76049-7432
Phone (817) 573-7153
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.stout@direct.revolutionehr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Waterloo - School of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 E US Hwy 377
Granbury, TX 76049-7432
Phone (817) 573-7153
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 71.49
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10415TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cheyne Eye Center P.a. | Optometrist | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Janet B Ogletree OD PA | Optometrist | Past | Accepting new patients |
Locations
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
4000 E US Highway 377
Granbury, TX 76049
Phone (817) 573-7153
Interoperability endpoints
- nicole.stout@direct.revolutionehr.com
Organizations & group practices 7
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.
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1285019893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 E US HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497432",
"telephone_number": "817-573-7153",
"fax_number": "817-573-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 E US HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497432",
"telephone_number": "817-573-7153",
"fax_number": "817-573-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "NICOLE",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10415TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.stout@direct.revolutionehr.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4000 E US Highway 377",
"city": "Granbury",
"state": "TX",
"country_code": "US",
"postal_code": "760497432",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.