Individual
DR. ROBERT PETER NYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1100 N BROADWAY STE 110, MINOT, ND 58703-1328
(701) 852-2020
(701) 852-7853
Mailing address
1100 N BROADWAY STE 110, MINOT, ND 58703-1328
(701) 852-2020
(701) 852-7853
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
405
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13035
ND BC/BS
ND
05
—
60386
—
ND
Enumeration date
07/15/2005
Last updated
01/12/2012
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