Dr. Benjamin Stout is a Eagan, Minnesota based male Optometrist with 25 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1999. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Benjamin Stout is 2764 for Optometry in Minnesota. Dr. Benjamin Stout examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Benjamin Stout speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
25+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3930 Cedar Grove Pkwy, Eagan, Minnesota, 55122-1403
Phone:
651-454-5661
Fax:
651-454-5669
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9638159031
Enrollment ID:
I20040726000348
NPI Number:
1265437792
NPI Enumeration Date:
21 Jun, 2005
NPI Last Update On:
19 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Benjamin Stout are as mentioned below.
License Number
Specialization
State
Status
2764
Optometry
Minnesota
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Benjamin Stout has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eagan Eye Clinic Llc (0345220745)
28
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Benjamin Stout such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004695700
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3930 Cedar Grove Pkwy, Eagan, Minnesota
Zip:
55122-1403
Phone Number:
651-454-5661
Fax Number:
651-454-5669
Patients can reach Dr. Benjamin Stout at 3930 Cedar Grove Pkwy, Eagan, Minnesota or can call to book an appointment on 651-454-5661. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.