Mark E Nordin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1243DT Issued in KY

Practice address

917 Broadway St
Paintsville, KY 41240-1407

Phone

(606) 788-0433

Fax

(606) 789-5053

NPI assigned

Jan 5, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Nordin Eye Center PSCGroup PAC ID 9830142967, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnordin.keca@direct.ocuhub.com
• Direct secure messaging: mnordin@nordineye.qrsdm.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nordin Eye Center, PSC

  • Optometrist
  • Salyersville, KY
  • NPI 1275681280
  Medicare reassignment Care Compare group NPD
• Nordin Eye Center, PSC

  • Optometrist
  • Paintsville, KY
  • NPI 1306900790
  NPD
• Nordin Eye Center, PSC

  • Optometrist
  • Pikeville, KY
  • NPI 1396475042
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1619024999",
    "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",
            "telephone_number": "606-788-0433",
            "fax_number": "606-789-5053"
        },
        {
            "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": {
        "last_name": "NORDIN",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1243DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012433",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Paul Newman, MHA
• Alexandria Faith Newsome
• Kassie Denise Newsome, PHARM D
• Nordin Eye Center, PSC
• Kimberly W Nordin, OD
• Mark Elliot Nordin, OD
• Victoria Leslie Nordin, OD
• Rick A. O'Bryan II, P.T.
• Ohio Valley Physicians Inc (Eastern Kentucky Primary Care Specialists)
• Linda Ann Omer, PT

• 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 Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.