Organization

Dr. Robert Nyre

May also be knows as Vision Source

Optometrist in Minot, ND(View on Map)

Legal Business Name

Dr. Robert Nyre

Also Known As

Vision Source

NPI Number

1528116969

NPI Type

Organization

Enumeration Date

01/08/2007

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

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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