VISION SOURCE
NPI 1528116969
Optometrist in Minot, ND

Active since January 08, 2007
1100 N BROADWAY STE 110, MINOT, ND 58703(701) 852-2020(701) 852-7853 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vision Source NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION SOURCE (NPI 1528116969) is a healthcare organization registered as an optometrist in Minot, North Dakota and active in the NPI registry since January 2007. The organization lists Robert Peter Nyre, Owner, as its authorized official.

NPPES Registry Identity

NPI1528116969
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. ROBERT NYRE
Location Address1100 N BROADWAY STE 110Minot, ND 58703-1328
Mailing Address1100 N Broadway Ste 110Minot, ND 58703-1328 · (701) 852-2020 · Fax (701) 852-7853
Fax(701) 852-7853
Organization SubpartNo
Authorized OfficialRobert Peter NyreOwner · (701) 852-2020
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 12, 2012
NPI 1528116969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in ND · 405
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1100 N BROADWAY STE 110, Minot, ND 58703

Other Names 1

Other NameVision Source

Other Identifiers 7

Medicaid60636ND
Medicare UPINT66919ND
Medicare NSC0272570001ND
Medicare PIN410027319ND
Medicaid60386ND
Medicare PIN70647ND
Medicare PIN13035ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Vision Source Minot, PLLC carries, from the Medicare DMEPOS supplier directory.

Vision Source Minot, PLLC

DMEPOS supplier · Minot, ND

Accepts Medicare assignment

Vision Source Minot, PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20454851
Medicare Participant SinceJune 1, 2018
Supplier Location1100 N Broadway Ste 110Minot, ND 58703
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1100 N BROADWAY STE 110
MINOT, ND 58703
Optometrist
1100 N BROADWAY STE 110
MINOT, ND 58703
Optometrist
1100 N BROADWAY STE 110
MINOT, ND 58703
Optometrist
1100 N BROADWAY STE 110
MINOT, ND 58703
Optometrist
1100 N BROADWAY STE 110
MINOT, ND 58703
Eyewear Supplier
1100 N BROADWAY STE 110
MINOT, ND 58703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Robert Nyre's NPI number?

The NPI number for Dr. Robert Nyre is 1528116969. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Dr. Robert Nyre located?

Dr. Robert Nyre is located at 1100 N Broadway Ste 110, Minot, ND 58703. The listed phone number is (701) 852-2020.

What is Dr. Robert Nyre's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Dr. Robert Nyre accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vision Source Minot, PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Dr. Robert Nyre was last updated on January 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.