LEGACY VISION GROUP
NPI 1043509888
Optometrist in West Haven, UT

Q: What is Legacy Vision Group's NPI number?

The NPI number for Legacy Vision Group is 1043509888. It was assigned to this organization in the NPPES registry on April 1, 2011. The provider was formerly known as Absolute Vision.

Q: What is Legacy Vision Group's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 01, 2011

4645 S. MIDLAND DR., SUITE A, WEST HAVEN, UT 84401(801) 732-8200(801) 732-8213 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Legacy Vision Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY VISION GROUP (NPI 1043509888), doing business as Absolute Vision, is a healthcare organization registered as an optometrist in West Haven, Utah and active in the NPI registry since April 2011. The organization lists Matthew Watson, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1043509888

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameLEGACY VISION GROUP

Location Address4645 S. MIDLAND DR., SUITE AWest Haven, UT 84401

Mailing Address4645 S. Midland Dr., Suite AWest Haven, UT 84401 · (801) 732-8200 · Fax (801) 732-8213

Phone(801) 732-8200

Fax(801) 732-8213

Organization SubpartNo

Authorized OfficialMatthew WatsonOptometrist · (801) 732-8200

Enumeration DateApril 1, 2011

Last NPPES UpdateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1043509888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

4645 S. MIDLAND DR., West Haven, UT 84401

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Other Names 1

Former Legal Business NameAbsolute Vision

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Vision Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateUtahEnrollment IDO20110601000655Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Legacy Vision Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Matthew Watson, O.D.

Optometry

NPI 1588990295

6191 S STATE ST STE 301
Murray, UT 84107

(801) 268-0408

✔ PECOS✔ Accepts Medicare38 mi

Mitchell Pebley, O.D.

Optometry

NPI 1710115332

1438 E MAIN ST #4
Lehi, UT 84043

(801) 753-7999

✔ PECOS✔ Accepts Medicare56 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Vision Group's NPI number?

The NPI number for Legacy Vision Group is 1043509888. It was assigned to this organization in the NPPES registry on April 1, 2011. The provider was formerly known as Absolute Vision.

Where is Legacy Vision Group located?

Legacy Vision Group is located at 4645 S. Midland Dr. Suite A, West Haven, UT 84401. The listed phone number is (801) 732-8200.

What is Legacy Vision Group's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Legacy Vision Group enrolled in Medicare?

Yes. Legacy Vision Group is registered in the Medicare PECOS enrollment system.

When is Legacy Vision Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Legacy Vision Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Legacy Vision Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Vision Group accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Legacy Vision Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Vision Group was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.