Eagle Vision

LBN: Eagle Vision
Eagle Vision is an health care organization with primary practice located at 4408 E Pony Express Pkwy Ste A , Eagle Mountain UT 84005-5564. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eagle Vision can be contacted via phone (801) 789-3937, or through Barney, Tyler via phone (801) 725-8630.

Contact Information

Primary practice address
4408 E Pony Express Pkwy Ste A Eagle Mountain UT 84005-5564
Fax: (801) 228-2420
Website:
Authorized official contact:
Name: Barney, Tyler Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6621539-9934 Utah

Profile Details

NPI number 1750791943
LBN Legal business name Eagle Vision
DBA Doing business as
Authorized official Barney, Tyler Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2014
Last updated Oct 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750791943 NPPES
Utah Other U000086776 PTAN

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