Organization
NORDIN EYE CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NORDIN OD (OWNER)
(606) 349-2020
Entity
Organization
Contact information
Practice address
120 AMANDA AVE, SUITE 100, SALYERSVILLE, KY 41465
(606) 349-2020
(606) 349-6773
Mailing address
120 AMANDA AVE, SUITE 100, SALYERSVILLE, KY 41465
(606) 349-2020
(606) 349-6773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1176DT
KY
152W00000X
Optometrist
Primary
1243DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011765
—
KY
05
—
77012433
—
KY
05
—
77902047
—
KY
Enumeration date
01/08/2007
Last updated
12/11/2015
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