National Provider Identifier Database

JESS E MENDENHALL, OD – NPI #1225280423
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.


Contact Information

JESS E MENDENHALL, OD
482 S MAIN ST
SPANISH FORK, UT84660-2410
Phone: 801-504-6448
Fax: 801-504-6239
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JESS E MENDENHALL

NPI Number 1225280423
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/21/2008
Last updated 12/08/2014 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 7070612-8908
  • UT License #: 7070612-9934
  • UT Medicaid: 1225280423
  • Other: 12457053 CAQH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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