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

Stacy R Smith MD PC's National Provider Identifier (NPI) is 1003162058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Stacy R Smith MD PC?

Stacy R Smith MD PC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).

Where is Stacy R Smith MD PC located?

Stacy R Smith MD PC's practice location on file with NPPES is 1548 E 4500 S, Salt Lake City, UT 84117-4209.

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

The practice phone number listed in the NPPES registry for Stacy R Smith MD PC is (801) 424-3090.

Does Stacy R Smith MD PC accept Medicare?

Stacy R Smith MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Stacy R Smith MD PC?

The authorized official listed on Stacy R Smith MD PC's NPPES record is Stacy Smith, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Stacy R Smith MD PC's NPI active?

Yes — Stacy R Smith MD PC's NPI (1003162058) is active in the NPPES registry as of the last update on 2013-05-13.

OrganizationActiveAccepts Medicare

Stacy R Smith MD PC

NPI 1003162058 · Ophthalmology Physician · Salt Lake City, UT

Stacy R Smith MD PC is a Ophthalmology Physician organization in Salt Lake City, UT (NPI 1003162058).

Provider details

NPI number: 1003162058
Entity type: Organization
Primary specialty: Ophthalmology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Stacy Smith, Physician(801) 424-3090
License: 60248791205 (UT)

Practice location

1548 E 4500 S

Ste 105

Salt Lake City, UT 84117-4209

Phone: (801) 424-3090

Fax: (801) 424-3091

Street-level locationGet directions

More UT providers

Mailing address

1548 E 4500 S

Salt Lake City, UT 84117-4209

Specialties & taxonomies

Ophthalmology PhysicianPrimary207W00000XLicense 60248791205 (UT)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2012-07-27
Last updated: 2013-05-13

Frequently asked questions

What is Stacy R Smith MD PC's NPI number?: Stacy R Smith MD PC's National Provider Identifier (NPI) is 1003162058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Stacy R Smith MD PC?: Stacy R Smith MD PC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
Where is Stacy R Smith MD PC located?: Stacy R Smith MD PC's practice location on file with NPPES is 1548 E 4500 S, Salt Lake City, UT 84117-4209.
What is Stacy R Smith MD PC's phone number?: The practice phone number listed in the NPPES registry for Stacy R Smith MD PC is (801) 424-3090.
Does Stacy R Smith MD PC accept Medicare?: Stacy R Smith MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Stacy R Smith MD PC?: The authorized official listed on Stacy R Smith MD PC's NPPES record is Stacy Smith, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Stacy R Smith MD PC's NPI active?: Yes — Stacy R Smith MD PC's NPI (1003162058) is active in the NPPES registry as of the last update on 2013-05-13.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions