Thomas A Stout, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

WV 719 OD Issued in WV

Practice address

3000 Hampton Ctr
Ste a
Morgantown, WV 26505-1708

Phone

(304) 598-2020

Fax

(304) 598-2024

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morgantown Eye Associates PLLCGroup PAC ID 5092729798, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morgantown Eye Associates PLLC

  • Optometrist
  • Morgantown, WV
  • NPI 1518006154
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Kress Eyecare Associates, PLLC

  • Optometrist
  • Buckhannon, WV
  • NPI 1841343779
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1336144294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR",
            "address_2": "STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-598-2020",
            "fax_number": "304-598-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HAMPTON CTR",
            "address_2": "STE A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051708",
            "telephone_number": "304-598-2020",
            "fax_number": "304-598-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WV",
            "license": "WV 719 OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "244618",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150667000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "410000097",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stonerise Reliable Healthcare LLC
• Stonerise Reliable Healthcare LLC
• Jon-Michael Lee Stork, MD
• Rachel Alaina-Ann Stouffer, APRN
• Nicole Lynn Stout, DPT, CLT-LANA
• Garrett W. Stover, M.D.
• Justin Stover
• Luke Jarrod Stover, MD
• Trell Marie Stowell, PA-C
• Samuel Stowers, D.D.S.

• Corneal and Contact Management Optometrist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Corneal and Contact Management Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.

Verify at the official NPI Registry.