Bairanje R Nayak PHD OD Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4504/T1173 Issued in OH

Legal business name

BAIRANJE R NAYAK PHD OD INC

Doing business as

MANSFIELD EYECARE

Practice address

1456 Park Ave W
Suite R
Mansfield, OH 44906-2700

Phone

(419) 529-6699

Fax

(419) 529-6379

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bairanje R Nayak, OD

Title

President

Phone

(419) 529-6699

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MANSFIELD EYECARE Doing business as

Locations

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1205022720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W",
            "address_2": "SUITE R",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062790",
            "telephone_number": "419-529-6699",
            "fax_number": "419-529-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W",
            "address_2": "SUITE R",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-529-6699",
            "fax_number": "419-529-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIRANJE R NAYAK PHD OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "BAIRANJE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-529-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "4504/T1173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2096155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANSFIELD EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sher Nazir Baig, MD
• Andrew Bailey, CT
• Dawn A Bailey
• Jacqueline Bailey, CP
• Jessica Faye Bailey, APRN
• Keisha Baisden, RN
• Andrew Alan Baker, CDCA
• Curtis Baker, DDS
• Joel Baker
• Jordon Lee Baker, STNA

• Durable Medical Equipment & Medical Supplies in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.