MEDICARE: MR. DAVID EDWARD STOUT OPTICIAN

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
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1619190709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID EDWARD STOUT OPTICIAN

Provider Business Mailing Address
First Line	:	12614 KARI ANNE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-1763
Country	:	US
Telephone Number	:	915-852-2861
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 N KENAZO AVE
Second Line	:
City	:	HORIZON CITY
State	:	TX
Zip	:	79928-5407
Country	:	US
Telephone Number	:	915-852-2861
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1760404487 — OKLAHOMA CVS PHARMACY LLC
Practice Location Address:

5400 N MAY AVE
OKLAHOMA CITY, OK
73112-5407

Practice Phone: 405-945-8375
Practice Fax: 405-415-2805

1376636191 — DIANNE B FEUERSTEIN NP
Practice Location Address:

4 CRANFORD DR
NEW CITY, NY
10956-5407

Practice Phone: 845-664-4300
Practice Fax:

1386707644 — BENJAMIN HOUSE, INC.
Practice Location Address:

1221 CAROLINA AVE , SUITE 3
ELIZABETH CITY, NC
27909-5407

Practice Phone: 252-331-7731
Practice Fax: 252-331-1777

1881736494 — LANI CORAL CRESCENZI ACSW
Practice Location Address:

4670 S. SEPULVEDA BLV.
CULVER CITY, CA
90230-5407

Practice Phone: 310-390-6612
Practice Fax:

1194933069 — MRS. IDA LEARY RODGERS LCSW
Practice Location Address:

1221 CAROLINA AVE STE 8
ELIZABETH CITY, NC
27909-5407

Practice Phone: 252-340-4987
Practice Fax: 252-331-2849

1689839532 — DR. SRINIVASU KUSUMA M.D.
Practice Location Address:

1600 167TH ST STE 900
CALUMET CITY, IL
60409-5407

Practice Phone: 708-647-7565
Practice Fax:

Directions to “ MR. DAVID EDWARD STOUT OPTICIAN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.