Organization
BAIRANJE R NAYAK PHD OD INC
Active
Other names
MANSFIELD EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAIRANJE R NAYAK OD (PRESIDENT)
(419) 529-6699
Entity
Organization
Contact information
Practice address
1456 PARK AVE W, SUITE R, MANSFIELD, OH 44906-2700
(419) 529-6699
(419) 529-6379
Mailing address
1456 PARK AVE W, SUITE R, MANSFIELD, OH 44906-2790
(419) 529-6699
(419) 529-6379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4504/T1173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096155
—
OH
Enumeration date
09/18/2007
Last updated
02/05/2010
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