NPIMap

Organization Active NPI

Gary Nesty

  • Optometrist
  • Brazil, IN
National Provider Identifier
1144487315
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001621 Issued in IN
Legal business name
GARY NESTY
Practice address
1515 E National Ave
Brazil, IN 47834-2723
Phone
(812) 448-1898
Fax
(812) 448-3838
NPI assigned
May 16, 2008
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Nesty, DONPI 1013989102
Title
Owner
Phone
(812) 448-1898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001621 IN Primary

Addresses

Primary practice location

1515 E National Ave
Brazil, IN 47834-2723

Mailing address

1515 E National Ave
Brazil, IN 47834-2723
Phone (812) 448-1898

National Provider Directory

National Provider Directory

Locations

1515 E National Ave
Brazil, IN 47834
Phone (812) 448-1898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1144487315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342723",
            "telephone_number": "812-448-1898",
            "fax_number": "812-448-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342723",
            "telephone_number": "812-448-1898",
            "fax_number": "812-448-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY NESTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "NESTY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-448-1898",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.