Organization
LEGACY VISION GROUP DBA ELEVATION EYEWORKS
Active
Parent organization
LEGACY VISION GROUP
Other names
Elevation Eyeworks
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY VISION GROUP
Authorized official
DR. MITCHELL ELI PEBLEY OD (OWNER)
(801) 732-8200
Entity
Organization
Contact information
Practice address
4645 MIDLAND DR STE A, WEST HAVEN, UT 84401-6824
(801) 792-8200
(801) 732-8213
Mailing address
4645 MIDLAND DR STE A, WEST HAVEN, UT 84401-6824
(801) 792-8200
(801) 732-8213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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