Individual
DR. GARY W NESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1515 E NATIONAL AVE, BRAZIL, IN 47834-2723
(812) 448-1898
(812) 448-3838
Mailing address
1515 E NATIONAL AVE, BRAZIL, IN 47834-2723
(812) 448-1898
(812) 448-3838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001621
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079838
ANTHEM
IN
05
—
100150790
—
IN
01
—
113004
EYEMED
IN
Enumeration date
02/03/2006
Last updated
09/30/2009
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