Kendall Dean Stout, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8700TG Issued in TX

Practice address

8376 Mojave TRL
Fort Worth, TX 76116-3638

Phone

(682) 628-2531

Fax

(682) 499-9350

NPI assigned

Jun 12, 2015

Last updated

Jul 20, 2023By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Michael K. Hammond, PA

  • Optometrist
  • Grand Prairie, TX
  • NPI 1346436193
  Medicare reassignment NPD
• Thai-an Nguyen OD PLLC

  • Optometrist
  • Grand Prairie, TX
  • NPI 1851717243
  NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1346621588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8376 MOJAVE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163638",
            "telephone_number": "682-628-2531",
            "fax_number": "682-499-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8376 MOJAVE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163638",
            "telephone_number": "682-628-2531",
            "fax_number": "682-499-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2634 S Carrier Pkwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750525070",
            "country_code": "US",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "KENDALL",
        "middle_name": "DEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8700TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan E. Stortroen, CRNA
• Elizabeth Story, M.D.
• Jaimie Ann Story, PA-C
• Shane Whitney Story, CRNA
• Donna McDonald Stout, LPC
• Shannon Leigh Stout, P.T.A.
• William R. Stout, CRNA
• Brooke Stovall, PA
• Joe Barry Stovall, DDS
• Katherine Stow, CCC, SLP

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.

Verify at the official NPI Registry.