Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David D Mortensen, OD

Individual provider Optometrist · NPI 1871590430

Dr. David D Mortensen, OD is an Optometry in Clinton, Utah. Graduated from Southern College of Optometry in 1998, 28 years ago. Practices with Promontory Vision Partners, a 4-clinician group. Licensed in Indiana, Utah and Virginia.

Years since qualifying
28
Trained at
Southern College of Optometry
Licensed in
IN, UT, VA
In the registry since
2005
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2028 W 2220 N
Clinton, UT 84015-5744
Phone: (801) 779-0708
Fax: (385) 393-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 361378-9934 (UT)
Optometrist Taxonomy 152W00000X · Licence 0601800582 (VA)
Optometrist Taxonomy 152W00000X · Licence 18003429 A & B (IN)

Record details

NPI number1871590430
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 28, 2005
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address2028 W 2220 N, Clinton, UT 84015-5744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1998 (28 years in practice)
Group practice Promontory Vision Partners — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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