Bairanje R Nayak, PHD OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4504/T1173 Issued in OH

Practice address

1456 Park Ave W
Suite R
Mansfield, OH 44906-2790

Phone

(419) 529-6699

Fax

(419) 529-6379

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bairanje R Nayak PHD OD Inc

  dba Mansfield Eyecare

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
  • NPI 1205022720
  Authorized official Same address or phone

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1265494025",
    "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": "449062790",
            "telephone_number": "419-529-6699",
            "fax_number": "419-529-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "BAIRANJE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4504/T1173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2096155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos C Nani, MD
• Swathi Narahari, M.D
• Nationwide Home Health Care, LLC
• Karla Kowalski Naumoff, LISW-S
• Kirstie Naumoff, LISW
• Rebecca J Nduaguba, D.O.
• Kelly Lynn Nell, NP-C
• Carly Grace Nelson
• Dayna Lynn Nelson
• Miriam Nelson

• Optometrist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.