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Active NPI 1598557753 Individual Practitioner Male Practitioner

Dr. Jordan Spencer Ericksen , OD

Optometrist • Payson, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Ericksen, OD is a registered healthcare professional specializing in Optometrist in Payson, UT. Practice services are available at 539 S 100 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

539 S 100 W

Payson, UT 846512865

Telephone 8014650355
Associated Practice Facility / Clinic
🏢 Apple Valley Vision Llc Facility NPI 1356400337

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Payson, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Payson, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 14224755-9934

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1588771414

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Optometrist (License #14224755-9934 in UT)

NPI Profile Active May 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2025

Registered at 539 S 100 W, PAYSON, UT 846512865 (Tel: 8014650355)

📍
Updated Business Mailing Address May 21, 2025

Registered at 197 N CARDINAL ST, SANTAQUIN, UT 84655 (Tel: 8014722702)

👤
Provider Name / Credentials Updated May 21, 2025

Recorded as JORDAN ERICKSEN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 21, 2025

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: 1598557753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2025
Last Update: December 22, 2025
Sole Proprietor: No

Mailing Address

197 N Cardinal St

Santaquin, UT 84655

Phone: 8014722702

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.