| Eagle Vision | |
|
4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564 | |
| (801) 789-3937 | |
| (801) 228-2420 |
| Full Name | Eagle Vision |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528268398 PECOS PAC ID: 5496884421 Enrollment ID: I20100528000623 |
| Provider Name | Jason Trent Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760837066 PECOS PAC ID: 7315219920 Enrollment ID: I20170816004065 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |