Mrs Nicole Mordhorst, LDO is a
Technician/technologist - Optician based in Prescott Valley, Arizona. Mrs Nicole Mordhorst is licensed to practice in Arizona (license number 001177) and her current practice location is
3450 N Glassford Hill Rd, Prescott Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 499-3152.
NPI number for Mrs Nicole Mordhorst is 1982498663 and her current mailing address is 3450 N Glassford Hill Rd, Prescott Valley, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982498663.
Healthcare Provider's Profile
Full Name | Mrs Nicole Mordhorst |
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Gender | Female |
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Speciality | Technician/technologist - Optician |
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Location | 3450 N Glassford Hill Rd, Prescott Valley, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982498663
- Provider Enumeration Date: 04/07/2025
- Last Update Date: 04/07/2025
Medical Identifiers
Medical identifiers for Mrs Nicole Mordhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982498663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 002832 (Arizona) | Secondary |
156FX1800X | Technician/technologist - Optician | 001177 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Mordhorst is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Nicole Mordhorst, LDO 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314-1351 Ph: (928) 499-3152 | Mrs Nicole Mordhorst, LDO 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314-1351 Ph: (928) 499-3152 |
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