Individual
JORDAN SPENCER ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
539 S 100 W, PAYSON, UT 84651-2865
(801) 465-0355
Mailing address
197 N CARDINAL ST, SANTAQUIN, UT 84655
(801) 472-2702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14224755-9934
UT
Other
Enumeration date
05/21/2025
Last updated
12/22/2025
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