Individual
DR. JAYAKUMAR ANANTHAN-NAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, PHD
Contact information
Practice address
787 HEALTH CARE DR, ORANGE CITY, FL 32763-8325
(407) 339-0303
(407) 339-0961
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 775-7654
(407) 834-6082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2940
FL
Other
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
Enumeration date
02/15/2006
Last updated
05/05/2017
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