Individual
DR. EVAN BAYLES
Active
Individual
DR. EVAN BAYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1581
SC
152W00000X
Optometrist
1947DT
KY
152W00000X
Optometrist
Primary
5920
OH
Other
Enumeration date
12/11/2009
Last updated
06/05/2015
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