# DR. JAYAKUMAR ANANTHAN-NAIR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912971151
- **Gender:** Man
- **Credential:** OD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2940 | FL | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 05/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20715 | BCBS | FL |
| 01 | — | 51451 | CVC | FL |
| 01 | — | 5405512 | AETNA | FL |
| 01 | — | 593540140 | VSP | FL |
| 05 | — | 620194600 | — | FL |
| 01 | — | FL2940 | EYEMED | FL |