Active NPI
Mark Elliot Nordin, OD
- Optometrist
- Paintsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2299DT
- Practice address
- 917 Broadway St
Paintsville, KY 41240-1407 - Phone
- (606) 788-0433
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2299DT | KY | Primary |
Addresses
Primary practice location
917 Broadway St
Paintsville, KY 41240-1407
Mailing address
917 Broadway St
Paintsville, KY 41240-1407
Phone (606) 788-0433
Other practice location 1
120 Amanda Ave Ste 100
Salyersville, KY 41465-8543
Phone (606) 349-2020
Other practice location 2
100 Alexandria Dr
Pikeville, KY 41501-4150
Phone (606) 229-8555
Other practice location 3
929 N Lake Dr
Prestonsburg, KY 41653-1286
Phone (606) 886-6774
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mnordin@nordineye.qrsdm.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
929 N Lake Dr
Prestonsburg, KY 41653-1286
Phone (606) 886-6774
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nordin Eye Center, PSC | Optometrist | Current | Accepting new patients |
| Nordin Eye Center, PSC | Optometrist | Current | Accepting new patients |
| Nordin Eye Center, PSC | Optometrist | Past | Accepting new patients |
Locations
917 Broadway St
Paintsville, KY 41240
Phone (606) 788-0433
100 Alexandria Dr
Pikeville, KY 41501
Phone (606) 229-8555
929 N Lake Dr
Prestonsburg, KY 41653
Phone (606) 886-6774
120 Amanda Ave
Ste 100
Salyersville, KY 41465
Phone (606) 349-2020
Interoperability endpoints
- menordin@nordineye.qrsdm.com
Organizations & group practices 3
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.
-
- Optometrist
- Salyersville, KY
- NPI 1275681280
-
- Optometrist
- Pikeville, KY
- NPI 1396475042
-
- Optometrist
- Paintsville, KY
- NPI 1306900790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1801524079",
"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"
},
{
"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"
}
],
"practiceLocations": [
{
"address_1": "120 Amanda Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Salyersville",
"state": "KY",
"postal_code": "414658543",
"country_code": "US",
"telephone_number": "606-349-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Alexandria Dr",
"address_purpose": "LOCATION",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415014150",
"country_code": "US",
"telephone_number": "606-229-8555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "929 N Lake Dr",
"address_purpose": "LOCATION",
"city": "Prestonsburg",
"state": "KY",
"postal_code": "416531286",
"country_code": "US",
"telephone_number": "606-886-6774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDIN",
"first_name": "MARK",
"middle_name": "ELLIOT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2299DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnordin@nordineye.qrsdm.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "917 Broadway St",
"city": "Paintsville",
"state": "KY",
"country_code": "US",
"postal_code": "412401407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paintsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.