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NPI Code Detail

MEDICARE: DR. CAYLEY STOUT OD

MEDICARE:  DR. CAYLEY  STOUT  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT006786OH

General Provider Information

NPI Number : 1467019646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAYLEY STOUT OD
Provider Business Mailing Address
First Line : 6725 MIAMI AVE STE 101
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3158
Country : US
Telephone Number : 513-561-7076
Fax Number : 513-561-2066
Provider Business Practice Location Address
First Line : 6725 MIAMI AVE STE 101
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3158
Country : US
Telephone Number : 513-561-7076
Fax Number : 513-561-2066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 10/21/2022

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Directions to “ DR. CAYLEY STOUT OD” Practice Location

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