IndividualActive
David Mortensen, OD
NPI 1871590430 · Optometrist · Clinton, UT
Provider details
- NPI number
- 1871590430
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0601800582 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
2028 W 2220 N
Clinton, UT 84015-5744
Phone: (801) 779-0708
Fax: (385) 393-7875
Approximate (ZIP-level) locationGet directions
Mailing address
2028 W 2220 N
Clinton, UT 84015-5744
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.