Individual
DR. BAIRANJE R NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD OD
Contact information
Practice address
1456 PARK AVE W, SUITE R, MANSFIELD, OH 44906-2790
(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
152W00000X
Optometrist
Primary
4504/T1173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096155
—
OH
Enumeration date
04/05/2006
Last updated
03/18/2014
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