Provider Demographics
NPI:1225153554
Name:JOHN A BAYS OD & ASSOC
Entity Type:Organization
Organization Name:JOHN A BAYS OD & ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAYS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-373-3191
Mailing Address - Street 1:307 FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:MARIETTA,
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2002
Mailing Address - Country:US
Mailing Address - Phone:740-373-3191
Mailing Address - Fax:740-373-3196
Practice Address - Street 1:307 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:MARIETTA,
Practice Address - State:OH
Practice Address - Zip Code:45750-2002
Practice Address - Country:US
Practice Address - Phone:740-373-3191
Practice Address - Fax:740-373-3196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2783152W00000X
OHT893152W00000X
OH5316152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0469880001OtherMEDICARE DMERC
OH4204631Medicaid
OH0469880001OtherMEDICARE DMERC
OH4204631Medicaid