Provider Demographics
NPI:1023080231
Name:BAYS, JOHN ARTHUR (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ARTHUR
Last Name:BAYS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 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
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2783T893152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0529119Medicaid
OH4204631OtherMEDICAID GROUP #
OH4204631OtherMEDICAID GROUP #
T47078Medicare UPIN
OH0469880001Medicare NSC