Individual provider

David Mortensen, OD

Optometrist Medicare enrolled

David Mortensen, OD is a provider specialising in Optometrist in Clinton, UT, registered under NPI 1871590430. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2028 W 2220 N, Clinton, UT 84015. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2028 W 2220 N, Clinton, UT 84015 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0601800582 VA Optometrist
361378-9934 UT Optometrist primary
18003429 A & B IN Optometrist

Licences are recorded in 3 states: VA, UT, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Optometry
PAC ID
0648175299

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Utah I20060128000034 Practitioner - Optometry
Texas I20231206003888 Practitioner - Optometry

Medicare enrolment is recorded as approved under the provider type Practitioner - Optometry. There are 2 separate enrolment records across 2 states (UT, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Indiana, Utah and Virginia. The practice address on file is in Clinton, UT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IN Indiana
Licence
18003429 A & B
Specialty
Optometrist
Verify with the IN board →
UT Utah practice address
Licence
361378-9934
Specialty
Optometrist
Verify with the UT board →
VA Virginia
Licence
0601800582
Specialty
Optometrist
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Optometrist covers

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. NUCC Health Care Provider Taxonomy, code 152W00000X
Eye and Vision Services Providers Optometrist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
152W00000X Optometrist 0601800582 VA
152W00000X Optometrist 361378-9934 UT primary
152W00000X Optometrist 18003429 A & B IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1871590430 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 28, 2005
Last updatedOct 24, 2024
StatusActive
Sole proprietorYes
GenderMale
CredentialOD
Practice address 2028 W 2220 N
Clinton, UT 84015
(801) 779-0708
Fax (385) 393-7875
Other identifiers 010118166 · Medicaid (VA)
162686 · Other (VA)
P00190241 · Other (VA)
This record was updated on Oct 24, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1871590430 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 7 1 5 9 0 4 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 5 1 1 9 0 4 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1871590430?
NPI 1871590430 is the National Provider Identifier assigned to David Mortensen, OD in Clinton, UT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Optometrist cover?
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…
How do I contact David Mortensen, OD?
The phone number on file with NPPES is (801) 779-0708, last updated Oct 24, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Mortensen, OD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1871590430 a valid number?
Yes. 1871590430 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.