Robert Peter Nyre, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

405 Issued in ND

Practice address

1100 N Broadway Ste 110
Minot, ND 58703-1328

Phone

(701) 852-2020

Fax

(701) 852-7853

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Robert Nyre

  • Optometrist
  • Minot, ND
  • NPI 1528116969
  Authorized official Same address or phone
• Century Eyewear, Inc

  • Optometrist
  • Minot, ND
  • NPI 1881725737
  NPD (past)
• Dr. Jaime L Haaland, Optometrist, P.C.

  • Optometrist
  • Minot, ND
  • NPI 1023154390
  NPD (past)
• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1528067212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BROADWAY STE 110",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031328",
            "telephone_number": "701-852-2020",
            "fax_number": "701-852-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROADWAY STE 110",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031328",
            "telephone_number": "701-852-2020",
            "fax_number": "701-852-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYRE",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BC/BS",
            "identifier": "13035",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60386",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casmiar I Nwaigwe, MD
• Cordelia O Nwankwo, NP
• Uchechukwu David Nwordu, MD
• Rochelle Renee Nyberg, LICSW
• Tia Nygaard
• Michelle Angela O'Connor
• Christine Ann O'Riley, PSY.D.
• Geoffrey Obia, FNP
• Catherine Oconnell, OTR
• Tavonda Marshea Odom

• Optometrist in Minot, ND
• Providers in Minot, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.