Legacy Vision Group - Medicare Optometrist in West Haven, UT

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Legacy Vision Group is a medicare enrolled "Optometrist" provider in West Haven, Utah. Their current practice location is 4645 S. Midland Dr., Suite A, West Haven, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 732-8200.

Legacy Vision Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Vision Group is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1043509888.

Contact Information

Legacy Vision Group
4645 S. Midland Dr., Suite A,
West Haven, UT 84401
(801) 732-8200
(801) 732-8213

Map and Direction




Healthcare Provider's Profile

Full NameLegacy Vision Group
TypeFacility
SpecialityOptometrist
Location4645 S. Midland Dr., West Haven, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043509888
  • Provider Enumeration Date: 04/01/2011
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254518152
  • Enrollment ID: O20110601000655

Medical Identifiers

Medical identifiers for Legacy Vision Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043509888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Vision Group acts as a billing entity for following providers:
Provider NameMitchell E Pebley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710115332
PECOS PAC ID: 2062554421
Enrollment ID: I20100122000438
Provider NameMatthew L Watson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588990295
PECOS PAC ID: 5799962692
Enrollment ID: I20110616000819
Provider NameAlexandra Christine Gutierrez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316431737
PECOS PAC ID: 6507101995
Enrollment ID: I20181212002170

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Legacy Vision Group is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Vision Group
4645 S. Midland Dr., Suite A,
West Haven, UT 84401

Ph: (801) 732-8200		Legacy Vision Group
4645 S. Midland Dr., Suite A,
West Haven, UT 84401

Ph: (801) 732-8200

Reviews and Comments


Optometrist in West Haven, UT

Legacy Vision Group Dba Elevation Eyeworks
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4645 Midland Dr Ste A, West Haven, UT 84401
Phone: 801-792-8200    Fax: 801-732-8213

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.