Gary Nesty

NPI #1144487315 in Brazil, Indiana

Provider Information

NPI Number: 1144487315
Entity Type: Organization
Organization Name: Gary Nesty
Primary Specialty: Optometrist
Enumeration Date: May 16, 2008
Last Updated: Jan 27, 2009

Practice Location

Address: 1515 E NATIONAL AVE
City: Brazil
State: Indiana
ZIP Code: 47834-2723
Phone: (812) 448-1898

Authorized Official

Name: GARY NESTY, DO
Title: OWNER
Phone: (812) 448-1898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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