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STACY R SMITH MD PC
NPI 1003162058
Ophthalmology in Salt Lake City, UT

Active since July 27, 2012
1548 E 4500 S, STE 105, SALT LAKE CITY, UT 84117(801) 424-3090(801) 424-3091 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy R Smith Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY R SMITH MD PC (NPI 1003162058) is a healthcare organization registered as an ophthalmology in Salt Lake City, Utah and active in the NPI registry since July 2012. The organization lists Stacy R Smith, Physician, as its authorized official.

NPPES Registry Identity

NPI1003162058
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSTACY R SMITH MD PC
Location Address1548 E 4500 S, STE 105Salt Lake City, UT 84117-4209
Mailing Address1548 E 4500 S, Ste 105Salt Lake City, UT 84117-4209 · (801) 424-3090 · Fax (801) 424-3091
Phone(801) 424-3090
Fax(801) 424-3091
Organization SubpartNo
Authorized OfficialStacy R SmithPhysician · (801) 424-3090
Enumeration DateJuly 27, 2012
Last NPPES UpdateMay 13, 2013
✔ NPI 1003162058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in UT · 60248791205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1548 E 4500 S, Salt Lake City, UT 84117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELENA MARGARITE HADJICHARALAMBOUS MD
Dermatology
1548 E 4500 S, STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 266-8841
DR. BRETON ADAM OREL YATES M.D.
Dermatology (MOHS-Micrographic Surgery)
1548 E 4500 S, STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 679-4600
JEFFERY K. RUPP D.M.D., M.S.
Dentist (Pediatric Dentistry)
1548 E 4500 S, SUITE 102
SALT LAKE CITY, UT 84117
Salt Lake County (801) 463-1900
SHANE FARR P.A.
Physician Assistant
1548 E 4500 S, STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 266-8841
DAVID GUSTAFSON DDS, MS
Dentist (Pediatric Dentistry)
1548 E 4500 S
SALT LAKE CITY, UT 84117
Salt Lake County (801) 463-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy R Smith MD PC's NPI number?

The NPI number for Stacy R Smith MD PC is 1003162058. It was assigned to this organization in the NPPES registry on July 27, 2012.

Where is Stacy R Smith MD PC located?

Stacy R Smith MD PC is located at 1548 E 4500 S Ste 105, Salt Lake City, UT 84117. The listed phone number is (801) 424-3090.

What is Stacy R Smith MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Stacy R Smith MD PC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Stacy R Smith MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy R Smith MD PC was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.