NPIMap

Organization Active NPI

Nancy S. Bayly, OD PC

  • Optometrist
  • Rensselaer, IN
National Provider Identifier
1386827186
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002094A Issued in IN
Legal business name
NANCY S. BAYLY, OD PC
Practice address
212 S Van Rensselaer St
Rensselaer, IN 47978-2433
Phone
(219) 866-5661
Fax
(219) 866-8705
NPI assigned
Dec 14, 2007
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Nancy S. Bayly, ODNPI 1194701060
Title
President
Phone
(219) 866-5661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002094B IN
Optometrist 152W00000X 18002094A IN Primary

Addresses

Primary practice location

212 S Van Rensselaer St
Rensselaer, IN 47978-2433

Mailing address

PO Box 260
Rensselaer, IN 47978-2433
Phone (219) 866-5661

Other names 1

  • Nancy Bayly OD Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1386827186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782433",
            "telephone_number": "219-866-5661",
            "fax_number": "219-866-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S VAN RENSSELAER ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782433",
            "telephone_number": "219-866-5661",
            "fax_number": "219-866-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY S. BAYLY, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "BAYLY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-866-5661",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002094B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy Bayly OD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rensselaer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.