Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Nicole Mordhorst, LDO

Individual provider Optometrist · NPI 1982498663

Mrs. Nicole Mordhorst, LDO is an Optometrist in Prescott Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3450 N Glassford Hill Rd
Prescott Valley, AZ 86314-1351
Phone: (928) 499-3152
Fax: (928) 775-6292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 001177 (AZ)
Optometrist Taxonomy 152W00000X · Licence 002832 (AZ)

Record details

NPI number1982498663
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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