# JAY ANANTHAN-NAIR OD P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396913380
- **Authorized official:** DR. JAYAKUMAR ANANTHAN-NAIR O.D., PHD (PRESIDENT)
- **Authorized official phone:** (386) 860-3812

## Contact information

- **Practice address:** 1308 E NORMANDY BLVD STE D, DELTONA, FL 32725-8448
- **Practice address phone:** (386) 668-3812
- **Mailing address:** 1308 E NORMANDY BLVD STE D, DELTONA, FL 32725-8448
- **Mailing address phone:** (386) 668-3812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | FL2940 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620194600 | — | FL |