Individual provider Active NPI

Mark Elliot Nordin, OD

  • Optometrist
  • Paintsville, KY
National Provider Identifier
1801524079
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2299DT Issued in KY
Practice address
917 Broadway St
Paintsville, KY 41240-1407
Phone
(606) 788-0433
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122003395 KY Practitioner - Optometry 6800264888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Nordin Eye Center PSCGroup PAC ID 9830142967, 3 clinicians

Practice addresses (Care Compare)

929 N Lake Dr
Prestonsburg, KY 41653-1286
Phone (606) 886-6774

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nordin Eye Center, PSC Optometrist CurrentSince Aug 19, 2022 Accepting new patients
Nordin Eye Center, PSC Optometrist CurrentSince Aug 19, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.