Douglas R Smith, O D

Primary specialty

OptometristTaxonomy code 152W00000X

License

1128829934 Issued in UT

Practice address

311 E 500 S
Bountiful, UT 84010-4924

Phone

(801) 295-4441

Fax

(801) 294-5416

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bountiful Vision Plaza PC

  • Optometrist
  • Bountiful, UT
  • NPI 1558434613
  Medicare reassignment NPD Authorized official
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Bountiful, UT
  • NPI 1174404024
  Medicare reassignment NPD
• Bio Energy Synergy Technology Chiropractic L.L.C.

  • Chiropractor
  • Bountiful, UT
  • NPI 1841489424
  NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Ogden, UT
  • NPI 1942151998
  NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1487846655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104924",
            "telephone_number": "801-295-4441",
            "fax_number": "801-294-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104924",
            "telephone_number": "801-295-4441",
            "fax_number": "801-294-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1128829934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Smeding, MSN, FNP-C
• Amy Louise Smith, CMHC
• Angela Smith
• Ariel Smith
• Craig T. Smith, LCSW
• Jason Larry Smith, DC, MS, DACNB
• Kennedy Smith
• Lori Smith
• Rachel Charity Smith, FNP
• Rhonda Ellena Smith, MD

• Optometrist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.