EAGLE VISION
NPI 1750791943
Optometrist in Eagle Mountain, UT
About Eagle Vision NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE VISION (NPI 1750791943) is a healthcare organization registered as an optometrist in Eagle Mountain, Utah and active in the NPI registry since April 2014. The organization lists Tyler Barney, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Eagle Vision 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Eagle Vision, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Eagle Mountain, UT 84005
Eagle Mountain, UT 84005
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Eagle Vision carries, from the Medicare DMEPOS supplier directory.
Eagle Vision
DMEPOS supplier · Eagle Mountain, UTAccepts Medicare assignment
Eagle Vision agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Eagle Vision's NPI number?
The NPI number for Eagle Vision is 1750791943. It was assigned to this organization in the NPPES registry on April 28, 2014.
Where is Eagle Vision located?
Eagle Vision is located at 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005. The listed phone number is (801) 789-3937.
What is Eagle Vision's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eagle Vision enrolled in Medicare?
Yes. Eagle Vision is registered in the Medicare PECOS enrollment system.
When is Eagle Vision's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Utah, Physician - Optometrist) 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 Eagle Vision?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Eagle Vision. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eagle Vision accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Eagle Vision accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Eagle Vision 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 Eagle Vision 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 Eagle Vision was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Eagle Vision · NPI 1750791943
Optometrist organization in Eagle Mountain, Utah. Organization record, active in the CMS NPPES registry since April 28, 2014.
## Identity
- **NPI:** 1750791943 (Entity type: Organization)
- **Enumerated:** April 28, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Tyler Barney, MEMBER
## Practice location
- **Address:** 4408 E PONY EXPRESS PKWY STE A, Eagle Mountain, UT 84005-5564
- **Phone:** (801) 789-3937 · **Fax:** (801) 228-2420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Utah, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2023
- **Other identifiers:** Other U000086776 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1750791943) · Data from the CMS NPPES public registry.