JOHN MORTENSEN (NPI# 1982056552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982056552 |
| Entity Type | Individual |
| Full Name | JOHN MORTENSEN |
| Credential | OD |
| Practice Address |
204 W Mariposa Rd Suite 24 Nogales AZ 85621-1007 |
| Mailing Address |
220 N Mckemy Ave Chandler AZ 85226-2654 |
| Practice Telephone | 5202873233 |
| Practice Fax Number | 5202814583 |
| Mailing Telephone | 4809611865 |
| Mailing Fax Number | 4808938172 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2118 | AZ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609315225 | John Mortensen | Behavioral Analyst | 175 Industrial Loop S, Orange Park, FL 32073-6217 | 2017-02-15 |
| 1164664439 | John Raymond Mortensen | Anesthesiology | 300 S Arlington Ave, Reno, NV 89501-2002 | 2009-04-01 |
| 1023057130 | John W Mortensen | Radiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2006-06-05 |
| 1407802564 | John A Mortensen | Audiologist | 2255 S 108th St, West Allis, WI 53227-1107 | 2006-05-26 |
| Street Address |
204 W MARIPOSA RD SUITE 24 |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619049350 | Nationwide Vision Center, LLC | Technician/Technologist | 204 W Mariposa Rd, Suite 24, Nogales, AZ 85621-1007 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308312 | Thomas Bottoms | Optometrist | 204 Mariposa Rd, Suite 24, Nogales, AZ 85621 | 2005-10-03 |
| 1568502813 | James E. Flores | Optometrist | 1815 N Mastick Way, Nogales, AZ 85621-1046 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1093326688 | West Point Optical | Optometrist | 15681 N Hayden Rd Ste 115, Scottsdale, AZ 85260-1959 | 2020-08-17 |
| 1275143034 | Kelly Hart | Optometrist | 7111 N Oracle Rd, Tucson, AZ 85704-4331 | 2020-08-06 |
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1053939306 | Corey Dunlop | Optometrist | 1025 S Power Rd Ste 102, Mesa, AZ 85206-5240 | 2020-07-13 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1144848912 | Miranda Hueners | Optometrist | 2040 E Rio Salado Pkwy Ste 120, Tempe, AZ 85281-5185 | 2020-07-08 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.