Whalio Doctors

NPI 1366416174

Richard L. Stout, OD

Practitioner Optometrist Crawfordsville, IN

Practice location

Address
502 E Main St, Crawfordsville, IN 47933-1812
Phone
(765) 362-8606
Fax
(765) 362-8779

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18001770A (IN)

Registry record

NPI
1366416174
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Feb 2006
Record last updated
5 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.