Fellows & Mortensen, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5898711-9934 Issued in UT

Legal business name

FELLOWS & MORTENSEN, LLC

Practice address

9035 S 1300 E Ste 100
Sandy, UT 84094-3131

Phone

(801) 566-4119

Fax

(801) 568-3844

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan J. Mortensen, O.D.

Title

Partner

Phone

(801) 566-4119

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1851580773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 S 1300 E STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943131",
            "telephone_number": "801-566-4119",
            "fax_number": "801-568-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 S 1300 E STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943131",
            "telephone_number": "801-566-4119",
            "fax_number": "801-568-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWS & MORTENSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-566-4119",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5898711-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Farr, BCBA
• Michelle Susan Faulhaber, MS SLP
• Charles Steven Fehlauer, MD
• Karli Victoria Fehr
• Leslie Lorraine Feinauer, PHD
• Bradley V Fellows, O.D.
• Megan Bartlett Felsch, CSW
• Elisabeth A Ferlic, M.D.
• Emily Ann Fessia
• Christopher Fiamate

• Optometrist in Sandy, UT
• Providers in Sandy, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.