Organization
NORDIN EYE CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NORDIN OD (OPTOMETRISTOWNER)
(606) 886-6774
Entity
Organization
Contact information
Practice address
929 N LAKE DR, PRESTONSBURG, KY 41653-1286
(606) 886-6774
(606) 886-6628
Mailing address
929 N LAKE DR, PRESTONSBURG, KY 41653-1286
(606) 886-6774
(606) 886-6628
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
—
77901973
—
KY
Enumeration date
01/05/2007
Last updated
12/26/2014
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