Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SPENCER DAVID MORTENSEN, O.D, F.A.A.O.
Active Sole ProprietorDR. SPENCER DAVID MORTENSEN, O.D, F.A.A.O. is a Optometrist healthcare provider located in SALT LAKE CITY, Utah. NPI 1548321078 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1548321078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.698354246008 yrs)
- Last Updated
- Nov 8, 2021
- License
-
109072-9934 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
462 E 100 SSALT LAKE CITY, UT, 841111802Browse UT providers · Browse ZIP 84111
- Phone
- 8015325176
- Fax
- 8015325179
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MRS. KARRI A BURESH | OD | 1124009824 |
| TERRY H BERNER | OD | 1295716538 |
| WILLIAM J BOGUS | O.D. | 1265414569 |
| NATHAN RAY GREEN | O.D. | 1821076555 |
| DR. KEITH J. CASTLETON | O.D. | 1730168071 |
| DR. MIKE MITCHELL | O.D. | 1851362339 |
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.