NPI 1225280423

Jess Eric Mendenhall, OD

Practitioner Optometrist Spanish Fork, UT

Practice location

Address: 482 S Main St, Spanish Fork, UT 84660-2410
Phone: (801) 504-6448
Fax: (801) 504-6239
Mailing address: 203 E 1600 S, Mapleton, UT 84664-5204

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 7070612-9934 (UT)

Other Optometrist providers in Utah →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 7070612-8908 (UT)

Registry record

NPI: 1225280423
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2008
Record last updated: 8 Dec 2014

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.