Individual provider Active NPI

Stephanie Rita Nahhas, OD

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1558052993
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13396953-9934 Issued in UT
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

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719000111 UT Practitioner - Optometry 7214397538 Reassigns benefits to 1 organization

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
Eye Institute of Utah IncGroup PAC ID 3678556438, 9 clinicians

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 100Reported as group
Quality
98.84
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13396953-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of Utah Inc CurrentSince Jun 12, 2023 Accepting new patients

Locations

755 E 3900 S
Salt Lake Cty, UT 84107
Phone (801) 266-2283

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.