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Active NPI 1750791943 Organization (Entity Type 2)

Eagle Vision

Optometrist • Eagle Mountain, UT

About Eagle Vision NPI 1750791943 Summary

Eagle Vision is a verified healthcare organization specializing in Optometrist operating in Eagle Mountain, UT. Located at 4408 E PONY EXPRESS PKWY STE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1750791943.

Administrative operations and authorized compliance are overseen by Tyler Barney (Member).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4408 E Pony Express Pkwy Ste A

Eagle Mountain, UT 840055564

Telephone 8017893937
Fax 8012282420

Authorized Official Information

Authorized Contact Name

Tyler Barney , O.D.

Title / Role

Member

Official Telephone

8017258630

Facility Classifications & Specialties

Optometrist Primary Taxonomy

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked
Kyle Stewart NPI 1366026601

Optometrist

Eagle Mountain, UT

View Practitioner Profile →

Optometrist

Eagle Mountain, UT

View Practitioner Profile →

Optometrist

Eagle Mountain, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
📍
Updated Practice Location October 11, 2023

Registered at 4408 E PONY EXPRESS PKWY STE A, EAGLE MOUNTAIN, UT 840055564 (Tel: 8017893937)

📍
Updated Business Mailing Address October 11, 2023

Registered at 4408 E PONY EXPRESS PKWY STE A, EAGLE MOUNTAIN, UT 840055564 (Tel: 8017893937)

NPI Profile Active November 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2014

Registered at 3535 E RANCHES PKWY STE C, EAGLE MOUNTAIN, UT 840055463 (Tel: 8017893937)

📍
Updated Business Mailing Address November 12, 2014

Registered at 3535 E RANCHES PKWY STE C, EAGLE MOUNTAIN, UT 840055463 (Tel: 8017893937)

🏛️
Organization / Clinic Name Updated November 12, 2014

Operating as EAGLE VISION

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2014

Optometrist (License #6621539-9934 in UT)

🟢
Initial NPI Registration & Enumeration April 28, 2014

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1750791943
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 28, 2014
Last Update: October 11, 2023

Mailing Address

4408 E Pony Express Pkwy Ste A

Eagle Mountain, UT 840055564

Phone: 8017893937

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.