Eagle Vision | |
4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564 | |
(801) 789-3937 | |
(801) 228-2420 |
Full Name | Eagle Vision |
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Type | Facility |
Speciality | Optometrist |
Location | 4408 E Pony Express Pkwy Ste A, Eagle Mountain, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750791943 | NPI | - | NPPES |
U000086776 | Other | UT | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6621539-9934 (Utah) | Primary |
Provider Name | Tyler J Barney |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528268398 PECOS PAC ID: 5496884421 Enrollment ID: I20100528000623 |
Provider Name | Jason Trent Peterson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760837066 PECOS PAC ID: 7315219920 Enrollment ID: I20170816004065 |
Mailing Address | Practice Location Address |
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Eagle Vision 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564 Ph: (801) 789-3937 | Eagle Vision 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564 Ph: (801) 789-3937 |
Dr. Tyler J. Barney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005 Phone: 801-789-3937 Fax: 801-228-2420 | |
Jason Trent Peterson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005 Phone: 801-789-3937 Fax: 801-228-2420 |