Search › Utah › 152W00000X
Jordan Ericksen, OD
NPI 1598557753 · on the registry since 2025
Practice
- Address
- 539 S 100 W
Payson, UT 84651 - Phone
- (801) 465-0355
- Organisation at this address
- Apple Valley Vision Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah