Vision Source

LBN: Dr. Robert Nyre
Vision Source is an health care organization with primary practice located at 1100 N Broadway Ste 110 , Minot ND 58703-1328. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Robert Nyre can be contacted via phone (701) 852-2020, or through Nyre, Robert Peter via phone (701) 852-2020.

Contact Information

Primary practice address
1100 N Broadway Ste 110 Minot ND 58703-1328
Phone: (701) 852-2020
Fax: (701) 852-7853
Website:
Map and Directions
Authorized official contact:
Name: Nyre, Robert Peter Doctor of Optometry (OD)
Phone: (701) 852-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 405 North Dakota

Profile Details

NPI number 1528116969
LBN Legal business name Dr. Robert Nyre
DBA Doing business as Vision Source
Authorized official Nyre, Robert Peter Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jan 12th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528116969 NPPES
North Dakota MEDICAID 60386
North Dakota MEDICAID 60636

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