Nayak, Bairanje R
Nayak, Bairanje R is an sole proprietor health care provider with primary practice located at 1456 Park Ave W Suite R, Mansfield OH 44906-2790. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nayak, Bairanje R can be contacted via phone (419) 529-6699.Contact Information
Primary practice address
1456 Park Ave W Suite R
Mansfield OH 44906-2790
Phone: (419) 529-6699
Fax: (419) 529-6379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4504/T1173 | Ohio |
Profile Details
| NPI number | 1265494025 |
|---|---|
| LBN Legal business name | Nayak, Bairanje R |
| Credentials | PHD OD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265494025 | NPPES |
| Ohio | MEDICAID | 2096155 |
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