NPIMap

Organization Active NPI

Bay Eye Care Center, PC

  • Ophthalmology Physician
  • Bay City, MI
National Provider Identifier
1235168915
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BAY EYE CARE CENTER, PC
Practice address
116 N Tuscola Rd
Bay City, MI 48708-6961
Phone
(989) 892-9595
Fax
(989) 892-3080
NPI assigned
Jul 3, 2006
Last updated
Oct 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas Steslicki
Title
Administrator
Phone
(989) 892-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

116 N Tuscola Rd
Bay City, MI 48708-6961

Mailing address

116 N Tuscola Rd
Bay City, MI 48708-6961
Phone (989) 892-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040405000270 MI Part B Supplier - Clinic/Group Practice 7012900319 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Bay City, MI; Midland, MI
O20100930067253 MI DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 7012900319 Practice locations: Bay City, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

116 N Tuscola Rd
Bay City, MI 48708
Phone (989) 892-9595

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1235168915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086961",
            "telephone_number": "989-892-9595",
            "fax_number": "989-892-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086961",
            "telephone_number": "989-892-9595",
            "fax_number": "989-892-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY EYE CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "STESLICKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-892-9595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.