NPI 1003818576

Ryan J Mortensen, OD

Practitioner Optometrist South Jordan, UT

Practice location

Address: 11506 S District Dr STE 400, South Jordan, UT 84095-5769
Phone: (801) 495-4833
Fax: (801) 495-4836

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5898711-9934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1003818576
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2005
Record last updated: 7 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.