Healthcare Provider Details

I. General information

NPI: 1144473331
Provider Name (Legal Business Name): THOMAS E NYE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 HIGH ST
HAMILTON OH
45011-6005
US

IV. Provider business mailing address

644 HIGH ST
HAMILTON OH
45011-6005
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-1100
  • Fax: 513-887-2671
Mailing address:
  • Phone: 513-887-1100
  • Fax: 513-887-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3955
License Number StateOH

VIII. Authorized Official

Name: DR. THOMAS E. NYE
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 513-887-1100