Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan J Mortensen, OD

Individual provider Optometrist · NPI 1003818576

Dr. Ryan J Mortensen, OD is an Optometry in South Jordan, Utah. Graduated from University of Houston - College of Optometry in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Trained at
University of Houston - College of Optometry
Licensed in
UT
In the registry since
2005
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

11506 S District Dr Ste 400
South Jordan, UT 84095-5769
Phone: (801) 495-4833
Fax: (801) 495-4836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5898711-9934 (UT)

Record details

NPI number1003818576
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESJanuary 7, 2016
Mailing address11506 S District Dr, Ste 400, South Jordan, UT 84095-5769

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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