District Vision Care

LBN: Ryan J. Mortensen, Inc
District Vision Care is an health care organization with primary practice located at 11506 S District Dr Ste 400 , South Jordan UT 84095-5769. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ryan J. Mortensen, Inc can be contacted via phone (801) 495-4833, or through Mortensen, Ryan via phone (801) 495-4833.

Contact Information

Primary practice address
11506 S District Dr Ste 400 South Jordan UT 84095-5769
Phone: (801) 495-4833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mortensen, Ryan Doctor of Optometry (OD)
Phone: (801) 495-4833

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5898711-9934 Utah

Profile Details

NPI number 1932566726
LBN Legal business name Ryan J. Mortensen, Inc
DBA Doing business as District Vision Care
Authorized official Mortensen, Ryan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2016
Last updated Jan 25th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932566726 NPPES
Utah MEDICAID 528496527001

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