Nordin Eye Center, PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1176DT Issued in KY

Legal business name

NORDIN EYE CENTER, PSC

Practice address

917 Broadway St
Paintsville, KY 41240-1407

Phone

(606) 788-0433

Fax

(606) 789-5053

NPI assigned

Dec 20, 2006

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Nordin, OD

Title

Ownerpresident

Phone

(606) 788-0433

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nordin Eye Center, PSC

  • Optometrist
  • Salyersville, KY
  • NPI 1275681280

  O20050301000250

  Same enrollment
• Nordin Eye Center, PSC

  • Optometrist
  • Pikeville, KY
  • NPI 1396475042

  O20050301000250

  Same enrollment
• Nordin Eye Center, PSC

  • Optometrist
  • Prestonsburg, KY
  • NPI 1699822999

  O20050301000250

  Same enrollment

Tax ID family

Nordin Eye Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Nordin Eye Center, PSC

  • Optometrist
  • Salyersville, KY
  • NPI 1275681280
  NPD tax ID
• Nordin Eye Center, PSC

  • Optometrist
  • Pikeville, KY
  • NPI 1396475042
  NPD tax ID
• Nordin Eye Center, PSC

  • Optometrist
  • Prestonsburg, KY
  • NPI 1699822999
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark E Nordin, OD

  • Optometrist
  • Paintsville, KY
  • NPI 1619024999
  NPD
• Mark Elliot Nordin, OD

  • Optometrist
  • Paintsville, KY
  • NPI 1801524079
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1306900790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BROADWAY ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BROADWAY ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401407",
            "telephone_number": "606-788-0433",
            "fax_number": "606-789-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDIN EYE CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "NORDIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "606-788-0433",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "11243DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1176DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7790274",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012433",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011765",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nabil Basha, M.D., P.S.C.
• New Age Vitality Clinic LLC
• Jonathan Paul Newman, MHA
• Alexandria Faith Newsome
• Kassie Denise Newsome, PHARM D
• Kimberly W Nordin, OD
• Mark E Nordin, OD
• Mark Elliot Nordin, OD
• Victoria Leslie Nordin, OD
• Rick A. O'Bryan II, P.T.

• Optometrist in Paintsville, KY
• Providers in Paintsville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.