Bountiful Vision Plaza PC
NPI 1558434613ActiveOrganization· Optometrist· Bountiful, UT
Optometrist in Bountiful, Utah, registered in NPPES in November 2006. The authorized official on file is Douglas R. Smith, OD, Owner President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558434613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Oct 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1128829934 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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