Active NPI
Stephanie Rita Nahhas, OD
- Optometrist
- Salt Lake City, UT
National Provider Identifier
1558052993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13396953-9934
- Practice address
- 755 E 3900 S
Salt Lake City, UT 84107-2105 - Phone
- (801) 980-3592
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13396953-9934 | UT | Primary |
Addresses
Primary practice location
755 E 3900 S
Salt Lake City, UT 84107-2105
Mailing address
1243 E Brickyard Rd Apt 344
Salt Lake City, UT 84106-5623
Phone (847) 791-0017
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 E 3900
Salt Lake City, UT 84107-2105
Phone (801) 266-2283
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 98.84
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13396953-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Institute of Utah Inc | Current | Accepting new patients |
Locations
755 E 3900 S
Salt Lake Cty, UT 84107
Phone (801) 266-2283
Interoperability endpoints
- snahhas@directaddress.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Salt Lake City, UT
- NPI 1366515041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1558052993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 E BRICKYARD RD APT 344",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841065623",
"telephone_number": "847-791-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072105",
"telephone_number": "801-980-3592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAHHAS",
"first_name": "STEPHANIE",
"middle_name": "RITA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "13396953-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.