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Organization

DR. ROBERT NYRE

Active
Other names
Vision Source
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT PETER NYRE OD (OWNER)
(701) 852-2020
Entity
Organization

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
05
60386
ND
05
60636
ND
Enumeration date
01/08/2007
Last updated
01/12/2012
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