Organization Active NPI

Bay Eye Care Center, PC

  • Optometrist
  • Bay City, MI
National Provider Identifier
1679595201
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Andrea Nicole Clark
Title
Supervisor
Phone
(989) 892-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 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 MI

Enrollment records 1

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
This NPI is an additional NPI on the enrollment
Practice locations: Bay City, MI; Midland, 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
#M15
Bay City, MI 48708
Phone (989) 892-9595

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

1715 E Ashman St
Midland, MI 48642
Phone (517) 631-9140

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1679595201",
    "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": "2006-07-24",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "989-892-9595"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "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 Jun 3, 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.