Active NPI
Bay Eye Clinic P.C.
- Ophthalmology Physician
- North Bend, OR
National Provider Identifier
1518038058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- BAY EYE CLINIC P.C.
- Practice address
- 3585 Broadway Ave
North Bend, OR 97459-1251 - Phone
- (541) 756-2584
- Fax
- (541) 756-5783
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon C. Kintner
- Title
- M.D.
- Phone
- (541) 756-2584
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3585 Broadway Ave
North Bend, OR 97459-1251
Mailing address
3585 Broadway St
North Bend, OR 97459-1251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149958 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- dgraham@bayeyeclinic.intellechartdirect.net
- jkintner@bayeyeclinic.intellechartdirect.net
- jgilbert@bayeyeclinic.intellechartdirect.net
- hjang@bayeyeclinic.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- North Bend, OR
- NPI 1437150265
-
- Ophthalmology Physician
- North Bend, OR
- NPI 1336638618
-
- Ophthalmology Physician
- North Bend, OR
- NPI 1356342950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1518038058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 BROADWAY ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3585 BROADWAY AVE",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591251",
"telephone_number": "541-756-2584",
"fax_number": "541-756-5783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY EYE CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "KINTNER",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "541-756-2584"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149958",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.