Nathan Cody Mortensen (NPI# 1194253682, PAC ID# 5193097574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194253682 |
| PAC ID by PECOS | 5193097574 |
| Professional Enrollment ID | I20170818002674 |
| Full Name | Nathan Cody Mortensen |
| Organization Legal Name | REXBURG VISION CENTER |
| Address |
49 E 1st Rexburg ID 83440-1966 |
| Phone Number | 2083564444 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1153475124 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 49 E 1st, Rexburg, ID 83440-1966 | 2083564444 | REXBURG VISION CENTER |
| Organization Legal Name | REXBURG VISION CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| H Scott Mortensen Iii | Optometry | Rexburg Vision Center | 49 E 1st, Rexburg, ID 83440-1966 |
| Darren W Hatch | Optometry | Rexburg Vision Center | 49 E 1st, Rexburg, ID 83440-1966 |
| Damon S Mortensen | Optometry | Rexburg Vision Center | 49 E 1st, Rexburg, ID 83440-1966 |
| Street Address |
49 E 1ST |
| City | REXBURG |
| State | ID |
| Zip | 83440-1966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| H Scott Mortensen Iii | Optometry | Rexburg Vision Center | 49 E 1st, Rexburg, ID 83440-1966 |
| Darren W Hatch | Optometry | Rexburg Vision Center | 49 E 1st, Rexburg, ID 83440-1966 |
| Damon S Mortensen | Optometry | Rexburg Vision Center | 49 E 1st, Rexburg, ID 83440-1966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | OPTOMETRY |
| City + Specialty | REXBURG + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.