Provider Demographics
NPI:1174649024
Name:ORL, INC.
Entity Type:Organization
Organization Name:ORL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARSHAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-498-2361
Mailing Address - Street 1:915 W MICHIGAN ST
Mailing Address - Street 2:YAGER BLDG, SUITE 301
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2401
Mailing Address - Country:US
Mailing Address - Phone:937-498-2361
Mailing Address - Fax:937-498-7451
Practice Address - Street 1:1808 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2304
Practice Address - Country:US
Practice Address - Phone:937-335-4866
Practice Address - Fax:937-335-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH040013564OtherRAILROAD MEDICARE
OH2032544Medicaid
OH040013269OtherRAILROAD MEDICARE
OH000000024933OtherBLUE CROSS BLUE SHIELD DM
OH9277642Medicare PIN