| Dr Nicole Catherine Stout, OD | |
|
4000 E Us Highway 377, Granbury, TX 76049-7432 | |
| (817) 573-7153 | |
| (817) 573-5640 |
| Full Name | Dr Nicole Catherine Stout |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4000 E Us Highway 377, Granbury, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285019893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10415TG (Texas) | Primary |
| Provider Name | Cherokee Nation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Provider Name | Cheyne Eye Center Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821091943 PECOS PAC ID: 1052224730 Enrollment ID: O20031110000078 |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Catherine Stout, OD 1001 N Grand Ave, Tahlequah, OK 74464-7017 Ph: (918) 444-4000 | Dr Nicole Catherine Stout, OD 4000 E Us Highway 377, Granbury, TX 76049-7432 Ph: (817) 573-7153 |
Bryan Mcdaniel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1030 E Hwy 377 Ste 106, Granbury, TX 76048 Phone: 817-578-8484 Fax: 817-579-1329 | |
Stellar Vision Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 735 E Highway 377, Granbury, TX 76048 Phone: 817-964-3455 Fax: 817-964-3465 | |
Courtney Cheyne Cobbs, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 E Us Highway 377, Granbury, TX 76049 Phone: 817-573-7153 Fax: 817-573-5640 | |
Med Southwest, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1030 East Hwy 377 Ste 106, Granbury, TX 76048 Phone: 817-578-8484 Fax: 817-579-1329 | |
Dr. Robert Brian Yeaman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 E Us Highway 377, Granbury, TX 76049 Phone: 817-573-7153 Fax: 817-573-5640 | |
Bruce B Wadley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048 Phone: 817-579-7933 Fax: 817-579-8656 | |
Jessica Kenney, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 E Us Highway 377, Granbury, TX 76049 Phone: 817-573-7153 Fax: 817-573-5640 |