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

DAVID ALAN SMITH O.D.
NPI 1417067950
Optometrist in Providence, UT

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
276 N. SPRINGCREEK PKWY, PROVIDENCE, UT 84332(435) 713-4444(435) 787-1238 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Alan Smith O.d. NPPES

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

DAVID ALAN SMITH O.D. (NPI 1417067950) is an individual optometrist in Providence, Utah, licensed in Utah (346644-9934) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1997).

NPPES Registry Identity

NPI1417067950
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID ALAN SMITHCredential: O.D.
Location Address276 N. SPRINGCREEK PKWYProvidence, UT 84332-9707
Mailing Address276 No. Spring Creek PkwyProvidence, UT 84332-9707 · (435) 713-4444 · Fax (435) 787-1238
Phone(435) 713-4444
Fax(435) 787-1238
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1997
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1417067950 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 · 346644-9934
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.
276 N. SPRINGCREEK PKWY, Providence, UT 84332
Open in Google Maps ↗

Other Identifiers 6

Other3999070001UT · Dmerc
OtherQM0000053383UT · Altius
Other61391UT · Pehp
OtherPRA03690UT · Molina
OtherUT6644UT · Eyemed
Other615808UT · Dmba

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Alan Smith O.d. 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 ID3274683818
PECOS Enrollment IDI20090602000680
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.

Medicare Billing Reassignment

Medicare enrollment records show David Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Valley Eyecare Center, Inc.
0.7 mi
Optometrist
276 SPRINGCREEK PKWY
Providence, UT 84332
  • Reassigned Medicare billing, Utah enrollment
NPI 1528299245 (435) 713-4444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
186 services82 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
183 services176 patients
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.
175 services173 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
32 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services20 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84332 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.

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 David Smith's NPI number?

The NPI number for David Smith is 1417067950. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is David Smith located?

David Smith practices at 276 N. Springcreek Pkwy, Providence, UT 84332. The listed phone number is (435) 713-4444.

What is David Smith's specialty?

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

Is David Smith enrolled in Medicare?

Yes. David Smith 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.

Which organization bills Medicare for David Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Smith reassigns Medicare benefits to South Valley Eyecare Center, Inc. (Providence, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Smith accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, Molina Healthcare and Providence Health Plan and 2 other insurers list David Smith 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 David Smith was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.