Individual
DR. MARK E NORDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
(606) 788-0433
(606) 789-5053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1243DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012433
—
KY
Enumeration date
01/05/2007
Last updated
10/31/2007
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