Evan J Stout (NPI# 1760731517, PAC ID# 8426340100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760731517 |
| PAC ID by PECOS | 8426340100 |
| Professional Enrollment ID | I20160718000833 |
| Full Name | Evan J Stout |
| Organization Legal Name | FAMILY VISION CLINIC, INC |
| Address |
450 5th Ave Sw Magee MS 39111-3960 |
| Phone Number | 6018495004 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6406938802 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 450 5th Ave Sw, Magee, MS 39111-3960 | 6018495004 | FAMILY VISION CLINIC, INC |
| Organization Legal Name | FAMILY VISION CLINIC, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Reed | Optometry | Family Vision Clinic, Inc | 450 5th Ave Sw, Magee, MS 39111-3960 |
| John M Reed | Optometry | Family Vision Clinic, Inc | 450 5th Ave Sw, Magee, MS 39111-3960 |
| Street Address |
450 5TH AVE SW |
| City | MAGEE |
| State | MS |
| Zip | 39111-3960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Reed | Optometry | Family Vision Clinic, Inc | 450 5th Ave Sw, Magee, MS 39111-3960 |
| John M Reed | Optometry | Family Vision Clinic, Inc | 450 5th Ave Sw, Magee, MS 39111-3960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Patterson Phd | Psychologist, Clinical | 1119 1st Ave Ne, Magee, MS 39111-3111 | |
| Mark A Runnels | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Maurice O Hinton | Certified Registered Nurse Anesthetist (crna) | Southern Anesthesia Inc | 300 Se 3rd Ave, Magee, MS 39111-3665 |
| Rudolph S Runnels Sr. | General Practice | Magee Benevolent Association | 300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 |
| John B Lyon | Ophthalmology | 300 3rd Ave Se, Magee, MS 39111-3665 | |
| Whitney J Peterson | Physician Assistant | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| John D Adams Jr. | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Allen Mcneil Haraway | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Harold J Blalock | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
| Bailey J Ferguson | Diagnostic Radiology | Magee Benevolent Association | 300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 |
| Find all physicians in zip 39111 | |||
| City | MAGEE |
| Zip Code | 39111 |
| Specialty | OPTOMETRY |
| City + Specialty | MAGEE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.