Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376661850 Deactivated / Inactive NPI Male Practitioner

Dr. David A Edlefsen , OD

Optometrist • Provo, UT

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Edlefsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 26, 2007
NPI Deactivation Date October 02, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Edlefsen, OD was a registered Optometrist practicing in Provo, UT. Throughout an active medical career spanning 17 years, Dr. Edlefsen provided care at the practice location at SEARS OPTICAL until profile deactivation on 2024-10-02.

Practice Location & Contact Primary Location

Practice Address

Sears Optical
1200 Towne Centre Blvd.

Provo, UT 84601

Telephone 8018522840
Fax 8018522841
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.4 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Provo, 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 109764-9934

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.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 02, 2024

Record deactivated on October 02, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at SEARS OPTICAL, 1200 TOWNE CENTRE BLVD., PROVO, UT 84601 (Tel: 8018522840)

📍
Updated Business Mailing Address July 08, 2007

Registered at 770 E MAIN ST, SUITE #133, LEHI, UT 840432284 (Tel: 8013610143)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID EDLEFSEN, O.D.

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

Optometrist (License #109764-9934 in UT)

🟢
Initial NPI Registration & Enumeration March 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. David Edlefsen. Be the first to share your experience!

Sign in to leave a review for Dr. David Edlefsen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376661850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: July 08, 2007
Deactivation Date: October 02, 2024

Mailing Address

770 E Main St, Suite #133

Lehi, UT 840432284

Phone: 8013610143

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.