Legal Business Name
Dr. Robert Nyre
Also Known As
Vision Source
NPI Number
1528116969
NPI Type
Organization
Enumeration Date
01/08/2007
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
405
Contact
Information
Purpose
Mailing
Location
Address
1100 N BROADWAY STE 110
1100 N BROADWAY STE 110
City
Minot
Minot
State
ND
ND
Postal Code
58703-1328
58703-1328
Country
US
US
Telephone Number
(701) 852-2020
(701) 852-2020
Authorized Official
Name
Dr. Robert Nyre
Title or Position
OWNER
Telephone Number
(701) 852-2020
Identifiers
Identifier
60386
60636
Identifier State
ND
ND
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/12/2012
Provider Address
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Arthur W. Erickson, Od, Pc
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Minot, NDSpecialty: Optometrist (Primary)