Organization Active NPI

Bay Eye Clinic P.C.

  • Ophthalmology Physician
  • North Bend, OR
National Provider Identifier
1518038058
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on May 9, 2025

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

Authorized official

Name
Jon C. KintnerNPI 1437150265
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
149958MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040506000653 OR Part B Supplier - Clinic/Group Practice 0446249437 Receives reassigned benefits from 4 practitioners
Practice locations: North Bend, OR
O20100930051619 OR DME Supplier - Physician - Ophthalmology 0446249437 Practice locations: North Bend, OR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: dgraham@bayeyeclinic.intellechartdirect.net
  • Direct secure messaging: jkintner@bayeyeclinic.intellechartdirect.net
  • Direct secure messaging: jgilbert@bayeyeclinic.intellechartdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.