Legacy Vision Group DBA Elevation Eyeworks

Optometrist · West Haven, UT

Organization Active NPI

NPI number 1558944538

Practice location

4645 Midland Dr Ste a
West Haven, UT 84401-6824
Phone
(801) 792-8200
Fax
(801) 732-8213

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NPI record

NPI
1558944538
Entity type
Organization (Type 2)
Enumeration date
April 28, 2021
Last updated
April 28, 2021
Certified
April 28, 2021
Organization subpart
Yes
Parent organization
Legacy Vision Group

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Authorized official

Name
Dr. Mitchell Eli Pebley, OD
Title
Owner
Phone
(801) 732-8200

Other names

  • Elevation Eyeworks

Other practice locations (1)

  • 308 N Market Place Dr, Centerville, UT 84014-1702 · (801) 294-6111

About Legacy Vision Group DBA Elevation Eyeworks

Legacy Vision Group DBA Elevation Eyeworks is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4645 Midland Dr Ste a, West Haven, UT 84401-6824. The NPI number 1558944538 was assigned on April 28, 2021 and the record was last updated on April 28, 2021.

The authorized official for this organization is Dr. Mitchell Eli Pebley, OD, Owner.

Frequently asked questions

What is the NPI number of Legacy Vision Group DBA Elevation Eyeworks?

The NPI number is 1558944538.

What is the phone number of Legacy Vision Group DBA Elevation Eyeworks?

The phone number listed for the practice location is (801) 792-8200.

Where is Legacy Vision Group DBA Elevation Eyeworks located?

4645 Midland Dr Ste a, West Haven, UT 84401-6824.

What is the taxonomy code for Legacy Vision Group DBA Elevation Eyeworks?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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