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DR. DAVID D MORTENSEN OD
NPI 1871590430
Optometrist in Clinton, UT

Active since June 28, 2005PECOS Enrolled
2028 W 2220 N, CLINTON, UT 84015(801) 779-0708(385) 393-7875 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David D Mortensen Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID D MORTENSEN OD (NPI 1871590430) is an individual optometrist in Clinton, Utah, licensed in Utah (361378-9934) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1998).

NPPES Registry Identity

NPI1871590430
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID D MORTENSENCredential: OD
Location Address2028 W 2220 NClinton, UT 84015-5744
Mailing Address2028 W 2220 NClinton, UT 84015-5744 · (801) 779-0708 · Fax (385) 393-7875
Phone(801) 779-0708
Fax(385) 393-7875
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1998
Enumeration DateJune 28, 2005
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1871590430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in UT · 361378-9934✔ Licensed in VA · 0601800582✔ Licensed in IN · 18003429 A & B
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2028 W 2220 N, Clinton, UT 84015
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Other Identifiers 3

Other162686VA · Anthem Blue Cross
OtherP00190241VA · Palmetto Railroad Medicar
Medicaid010118166VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David D Mortensen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648175299
PECOS Enrollment IDI20060128000034
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA NIELSEN OD
Optometrist
2028 W 2220 N
CLINTON, UT 84015
Davis County (801) 779-0708
DR. CLARK EDWARD FIELDEN O.D.
Optometrist
2028 W 2220 N
CLINTON, UT 84015
Davis County (801) 779-0708
DANIEL STURGELL OD
Optometrist
2028 W 2220 N
CLINTON, UT 84015
Davis County (801) 779-0708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Mortensen's NPI number?

The NPI number for David Mortensen is 1871590430. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is David Mortensen located?

David Mortensen practices at 2028 W 2220 N, Clinton, UT 84015. The listed phone number is (801) 779-0708.

What is David Mortensen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Mortensen enrolled in Medicare?

Yes. David Mortensen is registered in the Medicare PECOS enrollment system.

What insurance does David Mortensen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list David Mortensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Mortensen was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.