Organization
NORDIN EYE CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NORDIN OD (OWNERPRESIDENT)
(606) 788-0433
Entity
Organization
Contact information
Practice address
917 BROADWAY ST, PAINTSVILLE, KY 41240-1407
(606) 788-0433
(606) 789-5053
Mailing address
917 BROADWAY ST, PAINTSVILLE, KY 41240-1407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11243DT
KY
152W00000X
Optometrist
Primary
1176DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011765
—
KY
05
—
77012433
—
KY
05
—
7790274
—
KY
Enumeration date
12/20/2006
Last updated
12/26/2014
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