Active NPI
Bay Eye Care Center, PC
- Optometrist
- Bay City, MI
National Provider Identifier
1679595201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
- Last updated
- Jun 3, 2025
- 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
- Andrea Nicole Clark
- Title
- Supervisor
- Phone
- (989) 892-9595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
116 N Tuscola Rd
#M15
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, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Bay City, MI
- NPI 1629081708
-
- Optometrist
- West Branch, MI
- NPI 1003829177
-
- Ophthalmology Physician
- Bay City, MI
- NPI 1083621288
-
- Ophthalmology Physician
- Bay City, MI
- NPI 1992954416
-
- Optometrist
- Bay City, MI
- NPI 1003829193
-
- Ophthalmology Physician
- Bay City, MI
- NPI 1114934312
-
- Optometrist
- Bay City, MI
- NPI 1366290991
-
- Ophthalmology Physician
- West Branch, MI
- NPI 1962419267
-
- Ophthalmology Physician
- Saginaw, MI
- NPI 1043202948
-
- Optometrist
- Bay City, MI
- NPI 1447356860
-
- Ophthalmology Physician
- Bay City, MI
- NPI 1598872517
-
- Ophthalmology Physician
- Midland, MI
- NPI 1336128677
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.