Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN J MORTENSEN, O.D.
ActiveDR. RYAN J MORTENSEN, O.D. is a Optometrist healthcare provider located in SOUTH JORDAN, Utah. NPI 1003818576 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1003818576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (20.97144858669 yrs)
- Last Updated
- Jan 7, 2016
- License
-
5898711-9934 (UT)
Practice Information
- Address
-
11506 S DISTRICT DRSTE 400SOUTH JORDAN, UT, 840955769Browse UT providers · Browse ZIP 84095
- Phone
- 8014954833
- Fax
- 8014954836
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| DALE F HARDY | O.D. | 1356343487 |
| DR. JEFFREY L BROADHEAD | O.D. | 1306829569 |
| DR. JEFFERY LOVELL MELLOR | O.D., M.ED. | 1518975226 |
| DR. CARLYLE DEREK SWAIN | O.D. | 1184725632 |
| SHELLY L NIELSEN | OD | 1699864801 |
| DR. KURT PERRY HEPWORTH | O.D | 1457531428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.