Bountiful Vision Plaza PC
NPI 1558434613 · Optometrist · Bountiful, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bountiful Vision Plaza PC is a Optometrist organization in Bountiful, UT (NPI 1558434613).
Provider details
- NPI number
- 1558434613
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Douglas Smith, Owner President(801) 295-4441
- License
- 1128829934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2010-10-08
Frequently asked questions
- What is Bountiful Vision Plaza PC's NPI number?
- Bountiful Vision Plaza PC's National Provider Identifier (NPI) is 1558434613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bountiful Vision Plaza PC?
- Bountiful Vision Plaza PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Bountiful Vision Plaza PC located?
- Bountiful Vision Plaza PC's practice location on file with NPPES is 311 E 500 S, Bountiful, UT 84010-4924.
- What is Bountiful Vision Plaza PC's phone number?
- The practice phone number listed in the NPPES registry for Bountiful Vision Plaza PC is (801) 295-4441.
- Does Bountiful Vision Plaza PC accept Medicare?
- Bountiful Vision Plaza 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 Bountiful Vision Plaza PC?
- The authorized official listed on Bountiful Vision Plaza PC's NPPES record is Douglas Smith, Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bountiful Vision Plaza PC's NPI active?
- Yes — Bountiful Vision Plaza PC's NPI (1558434613) is active in the NPPES registry as of the last update on 2010-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.