David D Mortensen is a Optometrist in Hobart, Indiana. David D Mortensen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for David D Mortensen is 1871590430. The last update date is 2007-07-08.
David D Mortensen's current location address is 7408 Bracken Pkwy, Hobart, Indiana. You can contact this provider via phone number 2199421369 and fax number 2192269547. The mailing address for David D Mortensen is 7408 Bracken Pkwy, Hobart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David D Mortensen |
|---|---|
| Address | 7408 Bracken Pkwy, Hobart, Indiana |
| Phone Number | 2199421369 |
| Fax Number | 2192269547 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1871590430 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7408 Bracken Pkwy |
|---|---|
| City | Hobart |
| State | Indiana (IN) |
| Post Code | 463426879 |
| Phone Number | 2199421369 |
| Fax Number | 2192269547 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 601800582 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00190241 | VA | PALMETTO RAILROAD MEDICAR | |
| 162686 | VA | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to David D Mortensen by the Centers for Medicare & Medicaid Services?
The David D Mortensen has been issued the NPI (National Provider Identifier) 1871590430. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David D Mortensen is physically located?
The David D Mortensen is physically situated at the following address: 7408 Bracken Pkwy, Hobart, IN, 463426879.
What is the area of specialization for David D Mortensen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David D Mortensen is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did David D Mortensen receive its 1871590430 assignment from the Centers for Medicare & Medicaid Services?
The David D Mortensen was assigned its 1871590430 on 2005-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to David D Mortensen most recently updated or revised?
The details related to David D Mortensen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.