Organization Active NPI

Jay Ananthan-Nair OD P a

  • Optometrist
  • Deltona, FL
National Provider Identifier
1396913380
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL2940 Issued in FL
Legal business name
JAY ANANTHAN-NAIR OD P A
Practice address
1308 E Normandy Blvd Ste D
Deltona, FL 32725-8448
Phone
(386) 668-3812
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Jayakumar Ananthan-Nair, O.D., PHD
Title
President
Phone
(386) 860-3812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X FL2940 FL Primary

Addresses

Primary practice location

1308 E Normandy Blvd Ste D
Deltona, FL 32725-8448

Mailing address

1308 E Normandy Blvd Ste D
Deltona, FL 32725-8448
Phone (386) 668-3812

Other identifiers 1

IdentifierTypeStateIssuer
620194600MedicaidFL

National Provider Directory

National Provider Directory

Locations

1308 E Normandy Blvd
Ste D
Deltona, FL 32725
Phone (386) 668-3812

7151 Earhart Dr
Orlando, FL 32827
Phone (407) 857-3550

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1396913380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E NORMANDY BLVD STE D",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258448",
            "telephone_number": "386-668-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E NORMANDY BLVD STE D",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258448",
            "telephone_number": "386-668-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ANANTHAN-NAIR OD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ANANTHAN-NAIR",
        "authorized_official_first_name": "JAYAKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-860-3812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL2940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620194600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.