Individual
DR. THOMAS EDWARD NYE
Active
Individual
DR. THOMAS EDWARD NYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3955
OH
152WC0802X
Corneal and Contact Management Optometrist
3955
OH
152WL0500X
Low Vision Rehabilitation Optometrist
3955
OH
152WP0200X
Pediatric Optometrist
3955
OH
152WS0006X
Sports Vision Optometrist
3955
OH
152WV0400X
Vision Therapy Optometrist
3955
OH
152WX0102X
Occupational Vision Optometrist
3955
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014180
ANTHEM
—
05
—
0669316
—
OH
01
—
10995
NVA
—
01
—
299210001
ADMINISTAR
—
01
—
311214652
UNITED HEALTHCARE
—
01
—
31121465200
BWC PROVIDER #
OH
01
—
311214652026
CARE SOURCE
OH
Enumeration date
09/01/2006
Last updated
11/04/2021
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