Organization Active NPI

Nordin Eye Care Associates Inc

  • Optometrist
  • Coon Rapids, MN
National Provider Identifier
1194912386
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2924 Issued in MN
Legal business name
NORDIN EYE CARE ASSOCIATES INC
Practice address
13020 Riverdale Dr NW
Coon Rapids, MN 55448-1057
Phone
(763) 421-9652
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Aleisha Joo Nordin, O.D
Title
Optometrist
Phone
(763) 421-9562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2924 MN Primary

Addresses

Primary practice location

13020 Riverdale Dr NW
Coon Rapids, MN 55448-1057

Mailing address

256 Johnson Pkwy
Saint Paul, MN 55106-6410
Phone (651) 774-7538

National Provider Directory

National Provider Directory

Locations

1360 Town Centre Dr
Eagan, MN 55123
Phone (651) 686-7428

111 Star St
Mankato, MN 56001
Phone (507) 385-8110

11330 Fountains Dr
#648
Maple Grove, MN 55369
Phone (763) 494-8052

204 Washington Ave N
Minneapolis, MN 55401
Phone (612) 338-6656

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1194912386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 JOHNSON PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066410",
            "telephone_number": "651-774-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 RIVERDALE DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481057",
            "telephone_number": "763-421-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDIN EYE CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "NORDIN",
        "authorized_official_first_name": "ALEISHA",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "763-421-9562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.