Provider Demographics
NPI:1447415732
Name:NAYEE, JAYMINI (OD)
Entity Type:Individual
Prefix:DR
First Name:JAYMINI
Middle Name:
Last Name:NAYEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2898
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30015-7898
Mailing Address - Country:US
Mailing Address - Phone:770-786-1234
Mailing Address - Fax:678-712-6977
Practice Address - Street 1:4159 MILL ST NE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2546
Practice Address - Country:US
Practice Address - Phone:770-786-1234
Practice Address - Fax:678-712-6977
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002463152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist