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Ryan J. Mortensen, Inc

NPI 1932566726ActiveOrganization· Optometrist· South Jordan, UT

Optometrist in South Jordan, Utah, registered in NPPES in January 2016. The authorized official on file is Ryan Mortensen, O.D., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1932566726
StatusActive
Entity typeOrganization
NPI issuedJan 25, 2016
Last updated in NPPESJan 25, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X5898711-9934UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Optometrist providers in South Jordan

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