Individual provider Active NPI

Stacy Victoria Smith, M.D.

  • Neuro-ophthalmology Physician
  • Bellaire, TX
National Provider Identifier
1306138235
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
Q3972 Issued in TX
Practice address
4460 Bissonnet St Ste 200
Bellaire, TX 77401-3234
Phone
(713) 524-3434
Fax
(713) 524-3220
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Q3972 TX
Neuro-ophthalmology Physician 207WX0109X Q3972 TX Primary

Addresses

Primary practice location

4460 Bissonnet St Ste 200
Bellaire, TX 77401-3234

Mailing address

1360 Post Oak Blvd Ste 800
Houston, TX 77056-3312
Phone (713) 524-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000146 TX Practitioner - OphthalmologyPractitioner - Neurology 0941599559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Houston PLLCGroup PAC ID 6103841820, 26 clinicians

Practice addresses (Care Compare)

4460 Bissonnet St
Suite 200
Bellaire, TX 77401-3234
Phone (713) 524-3434

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q3972TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Houston PLLC CurrentSince Aug 15, 2025 Accepting new patients
Retina Consultants of Houston PLLC CurrentSince Aug 15, 2025 Accepting new patients
Retina Consultants of Houston PLLC Past Accepting new patients

Locations

87 Interstate 10 N
Ste 103
Beaumont, TX 77707

4460 Bissonnet St
Ste 200
Bellaire, TX 77401

2620 Becker Dr
Brenham, TX 77833

2620 Highway 36 S
Brenham, TX 77833

21216 Northwest Fwy
Ste 520
Cypress, TX 77429
Phone (281) 955-7900

10130 Louetta Rd
Ste G
Houston, TX 77070
Phone (281) 440-4089

1360 Post Oak Blvd
Ste 800
Houston, TX 77056

11460 Space Center Blvd
Ste 2
Houston, TX 77059

10100 Katy Fwy
Ste 100
Houston, TX 77043

11460 Space Center Blvd
#2
Houston, TX 77059

23510 Kingsland Blvd
Ste 300
Katy, TX 77494
Phone (713) 850-0240

350 Kingwood Medical Dr
Ste 200
Kingwood, TX 77339

400 Bypass Ln
Ste 112
Livingston, TX 77352
Phone (281) 318-2043

400 Bypass Ln
Ste 105
Livingston, TX 77352
Phone (936) 327-7812

10907 Memorial Hermann Dr
Ste 450
Pearland, TX 77584

6921 Brisbane Ct
Ste 200
Sugar Land, TX 77479
Phone (512) 524-3434

17450 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (713) 563-0050

Interoperability endpoints

  • Direct secure messaging: ssmith@houstonretina.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1306138235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 POST OAK BLVD STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563312",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013234",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q3972",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "TX",
            "license": "Q3972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.