Provider Demographics
NPI:1790846434
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 WEST MICHIGAN
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 1:915 WEST MICHIGAN
Practice Address - Street 2:YAGER BLDG, SUITE 301
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-2401
Practice Address - Country:US
Practice Address - Phone:937-498-2361
Practice Address - Fax:937-498-7451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-10-02
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
OH2032544Medicaid
OH0150456Medicaid
OH000000024933OtherANTHEM DME (HEARING AID)
OH9277641OtherMEDICARE GROUP # SIDNEY