Individual provider Active NPI

Michael Kenneth Nye, OD

  • Optometrist
  • Erie, PA
National Provider Identifier
1285573097
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004362 Issued in PA
Practice address
300 State St Ste 202
Erie, PA 16507-1429
Phone
(814) 454-6517
NPI assigned
Mar 26, 2026
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG004362 PA Primary

Addresses

Primary practice location

300 State St Ste 202
Erie, PA 16507-1429

Mailing address

2509 Bird Dr
Erie, PA 16510-1543

Other practice location 1

9239 US-6
Union City, PA 16438
Phone (814) 438-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayfront Eyecare, P.C.Group PAC ID 4284717158, 5 clinicians

Practice addresses (Care Compare)

300 State St
Suite 202
Erie, PA 16507-1429
Phone (814) 454-6517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004362PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Skelton Eye Care PC Optometrist CurrentSince Jul 9, 2026 Accepting new patients
Bayfront Eyecare, P.C. Optometrist CurrentSince Jul 9, 2026 Accepting new patients
Robert Ricart OD and Associates Optometrist PastSince Jul 9, 2026 Accepting new patients

Locations

300 State St
Ste 202
Erie, PA 16507
Phone (814) 454-6417

9239 Route 6
Union City, PA 16438
Phone (814) 438-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1285573097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 BIRD DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 202",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-454-6517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9239 US-6",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "PA",
            "postal_code": "16438",
            "country_code": "US",
            "telephone_number": "814-438-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYE",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.