Individual provider Active NPI

Cayley Stout, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1467019646
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT006786 Issued in OH
Practice address
6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158
Phone
(513) 561-7076
Fax
(513) 561-2066
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT006786 OH Primary

Addresses

Primary practice location

6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158

Mailing address

6725 Miami Ave Ste 101
Cincinnati, OH 45243-3158
Phone (513) 561-7076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20260417001436 IN Practitioner - Optometry 3870827074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Clinics IncGroup PAC ID 8022926294, 18 clinicians

Practice addresses (Care Compare)

1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

1721 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Henry a Hull Optometrist, Inc Optometrist PastSince May 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1467019646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 MIAMI AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433158",
            "telephone_number": "513-561-7076",
            "fax_number": "513-561-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 MIAMI AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433158",
            "telephone_number": "513-561-7076",
            "fax_number": "513-561-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "CAYLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT006786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.