Organization
NANCY S. BAYLY, OD PC
Active
Other names
Nancy Bayly OD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY S. BAYLY OD (PRESIDENT)
(219) 866-5661
Entity
Organization
Contact information
Practice address
212 S VAN RENSSELAER ST, RENSSELAER, IN 47978-2433
(219) 866-5661
(219) 866-8705
Mailing address
PO BOX 260, RENSSELAER, IN 47978-2433
(219) 866-5661
(219) 866-8705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002094A
IN
152W00000X
Optometrist
18002094B
IN
Other
Enumeration date
12/14/2007
Last updated
06/17/2010
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