Provider Demographics
NPI:1255366092
Name:BAYLUS, EUGENE S (OD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:S
Last Name:BAYLUS
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 1:153 MANCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5142
Mailing Address - Country:US
Mailing Address - Phone:603-226-0855
Mailing Address - Fax:603-226-0981
Practice Address - Street 1:153 MANCHESTER ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5142
Practice Address - Country:US
Practice Address - Phone:603-226-0855
Practice Address - Fax:603-226-0981
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH595152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH09Y002668NH01OtherANTHEM
NH09Y002668NH02OtherANTHEM MANCHESTER
NH150452OtherCIGNA
NH80002638Medicaid
NH8461959003OtherCIGNA MANCHESTER
NH09Y002668NH02OtherANTHEM MANCHESTER
NH8461959003OtherCIGNA MANCHESTER
NH09Y002668NH01OtherANTHEM