DR. DAVID D MORTENSEN (NPI# 1871590430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871590430 |
| Entity Type | Individual |
| Full Name | DR. DAVID D MORTENSEN |
| Credential | OD |
| Practice Address |
1184 N. Main St Crown Point IN 46307 |
| Mailing Address |
7408 Bracken Pkwy Hobart IN 46342-6879 |
| Practice Telephone | 2192269571 |
| Practice Fax Number | 2192269547 |
| Mailing Telephone | 2199421369 |
| Mailing Fax Number | 2192269547 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003429 A & B | IN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 0601800582 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BLUE CROSS | 162686 | 01 |
| VA | PALMETTO RAILROAD MEDICAR | P00190241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629281134 | David R. Mortensen | Dentist | 355 Greenleaf Ave, Suite A, Park City, IL 60085-5708 | 2007-05-08 |
| 1518024520 | David Mortensen | Surgery | 800 Mercy Dr Ste 220, Council Bluffs, IA 51503-3128 | 2007-01-02 |
| 1023002581 | David H. Mortensen | Chiropractor | 3043 Foothill Blvd, Suite 8, La Crescenta, CA 91214-2715 | 2005-09-09 |
| 1457584120 | David Mortensen | Pharmacist | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2009-08-28 |
| Street Address |
1184 N. MAIN ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1811532302 | Katarzyna Krystyna Dudzik | Optometrist | 1861 E Summit St, Crown Point, IN 46307-2768 | 2019-11-08 |
| 1841833142 | Elite Vision Consultants | Optometrist | 123 N Main St Ste 102, Crown Point, IN 46307-4077 | 2019-10-21 |
| 1285070037 | Jovan Alavanja | Optometrist | 10823 Broadway, Crown Point, IN 46307-7303 | 2013-05-21 |
| 1396064515 | Darshana Dilip Patel | Optometrist | 1184 N Main St, Crown Point, IN 46307-2715 | 2010-05-27 |
| 1124200373 | Susan Houchin Od PC | Optometrist | 10751 Randolph St, Crown Point, IN 46307-7615 | 2007-11-29 |
| 1992999106 | Northwest Indiana Eye Associates, PC | Optometrist | 297 W. Franciscan Dr., Suite 101, Crown Point, IN 46307-4858 | 2007-08-30 |
| 1376752444 | Lourdes Lorino, O.d. | Optometrist | 11420 Broadway, Crown Point, IN 46307-7106 | 2007-05-22 |
| 1649253352 | Gary Wayne Scearce | Optometrist | 449 E Summit St, Crown Point, IN 46307-3539 | 2005-11-28 |
| 1962060004 | Jennifer Mary Sitko | Optometrist | 321 N Main St, Crown Point, IN 46307-3250 | 2019-06-04 |
| 1720547136 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1184 N Main St, Crown Point, IN 46307-2715 | 2019-03-15 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.