Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STACY LYNN RENCHER OD
NPI 1265414163
Optometrist in Roy, UT

Active since November 16, 2005PECOS Enrolled

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacy Lynn Rencher Od NPPES

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

DR. STACY LYNN RENCHER OD (NPI 1265414163) is an individual optometrist in Roy, Utah, licensed in Utah (1125529934) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1985).

NPPES Registry Identity

NPI1265414163
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACY LYNN RENCHERCredential: OD
Location Address4896 S 1900 WRoy, UT 84067-2994
Mailing Address4896 S 1900 WRoy, UT 84067-2994 · (801) 773-2999
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1985
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1265414163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in UT · 1125529934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4896 S 1900 W, Roy, UT 84067

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacy Lynn Rencher Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345326856
PECOS Enrollment IDI20080325000174
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
28 services28 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Optometrist
4896 S 1900 W
ROY, UT 84067
Dentist
4896 S 1900 W, SUITE B
ROY, UT 84067
Dentist (General Practice)
4896 S 1900 W, SUITE C
ROY, UT 84067

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 Rencher's NPI number?

The NPI number for Stacy Rencher is 1265414163. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Stacy Rencher located?

Stacy Rencher practices at 4896 S 1900 W, Roy, UT 84067. The listed phone number is (801) 773-2999.

What is Stacy Rencher's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Stacy Rencher enrolled in Medicare?

Yes. Stacy Rencher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacy Rencher accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and BridgeSpan Health Company and 2 other insurers list Stacy Rencher 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 Rencher was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.