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Active NPI 1871590430 Individual Practitioner Male Practitioner

Dr. David D Mortensen , OD

Optometrist • Clinton, UT

Professional Overview & Biography Verified Profile Summary

Dr. David Mortensen, OD is a certified Optometrist practicing in Clinton, UT. With approximately 28 years of clinical experience since graduating from Southern College Of Optometry in 1998, Dr. Mortensen delivers high-quality medical care to the local community at 2028 W 2220 N.

Dr. Mortensen is affiliated with Promontory Vision Partners and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2028 W 2220 N

Clinton, UT 840155744

Telephone 8017790708
Fax 3853937875
Associated Practice Facility / Clinic
🏢 Promontory Vision Partners Facility NPI 1013187822

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1998

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clinton, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +13.7 yrs vs City Avg
City Avg: 14.3 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Clinton, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
19.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mortensen (28 Years) 28 Yrs
Clinton Specialty Average (14.3 Years) 14.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
53 53 $99.04 $40.09
92014 Established patient complete exam of visual system
32 32 $147.96 $128.53
92004 New patient complete exam of visual system
21 21 $150.00 $150.00

Medical Specialties & State Licenses

CMS Verified: 2024-10-24
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 361378-9934

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License VA 0601800582

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IN 18003429 A & B

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010118166 (VA)
Commercial Insurance / Payer ID Anthem Blue Cross
162686 (VA)
Commercial Insurance / Payer ID Palmetto Railroad Medicar
P00190241 (VA)

Hospital & Practice Group Affiliations

Promontory Vision Partners

2028 W 2220, Clinton, UT 840158388

Promontory Vision Partners

2028 W 2220, Clinton, UT 840155744

Phone: 8017790708

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1295350247

Doctor of Optometry

NPI 1457339285

Doctor of Optometry

NPI 1710609516

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 24, 2024

Registered at 2028 W 2220 N, CLINTON, UT 840155744 (Tel: 8017790708)

📍
Updated Business Mailing Address October 24, 2024

Registered at 2028 W 2220 N, CLINTON, UT 840155744 (Tel: 8017790708)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2024

Optometrist (License #0601800582 in VA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1184 N. MAIN ST, CROWN POINT, IN 46307 (Tel: 2192269571)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7408 BRACKEN PKWY, HOBART, IN 463426879 (Tel: 2199421369)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MORTENSEN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #18003429 A & B in IN)

🟢
Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871590430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2005
Last Update: October 24, 2024
Sole Proprietor: Yes

Mailing Address

2028 W 2220 N

Clinton, UT 840155744

Phone: 8017790708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.