| Jordan Spencer Ericksen, OD | |
|
539 S 100 W, Payson, UT 84651-2865 | |
| (801) 465-0355 | |
| Not Available |
| Full Name | Jordan Spencer Ericksen |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 539 S 100 W, Payson, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598557753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 14224755-9934 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Spencer Ericksen, OD 197 N Cardinal St, Santaquin, UT 84655 Ph: (801) 472-2702 | Jordan Spencer Ericksen, OD 539 S 100 W, Payson, UT 84651-2865 Ph: (801) 465-0355 |
Apple Valley Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 539 South 100 West, Payson, UT 84651 Phone: 801-465-0355 Fax: 801-465-9238 | |
Mr. Brian Farnsworth Rowley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 675 S 100 W Ste 3, Payson, UT 84651 Phone: 801-465-0355 Fax: 801-465-9238 | |
Dr. Ross Frandsen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1052 Turf Farm Rd, Payson, UT 84651 Phone: 801-465-8895 Fax: 801-465-8897 |