Bay Eye Center PC
Organization Active NPI Optometrist · Mansfield, MA
NPI 1790700946 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1790700946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4162 (MA)
- Legal business name
- BAY EYE CENTER PC
- Practice address
- 1 N Main St
Mansfield, MA 02048-2227 - Phone
- (508) 339-7600
- Fax
- (508) 339-6393
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy T Lynch, OD
- Title
- President
- Phone
- (774) 279-2020
Practitioners 19
-
Erin Civetti, OD
-
Steven Mark Holtzman, O.D.
-
Alayna A Lucero, O.D.
-
Timothy T Lynch, OD
-
Salim A Mansour, OD
-
Mitz Syed Qutb, OD
-
Margaret Mary Stolarczuk, O.D.
-
Donna M Zhang, O.D.
-
Alexander Gruber, OD
-
William L Olson, OD
-
Kristy B Wooler, OD
-
Thomas J McAlear, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041022000845 | MA | Part B Supplier - Clinic/Group Practice | 4587625595 |
Receives reassigned benefits from 16 practitioners Practice locations: Mansfield, MA; Plymouth, MA |
National Provider Directory
Locations
284 N Main St
Ste A
Mansfield, MA 02048
Phone (508) 339-7600
284 N Main St
Mansfield, MA 02048
20 Roche Brothers Way
Ste 7
North Easton, MA 02356
Phone (508) 238-5200
67 Obery St
Plymouth, MA 02360
Phone (508) 339-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4162 | MA | Yes |
Addresses
Primary practice location
1 N Main St
Mansfield, MA 02048-2227
Mailing address
1 N Main St
Mansfield, MA 02048-2227
Phone (508) 339-7600
Other practice location 1
67 Obery St
Plymouth, MA 02360-2181
Phone (508) 339-7600
Other practice location 2
20 Roche Bros Way Ste 7
North Easton, MA 02356-1030
Phone (508) 238-5200
Other names
- Bay State Eye Care, PC
Other providers in Mansfield, MA
- Back to Health Chiropractic
- Mariah Goodwin Baker
- Moriah Baker
- London Basquiat
- Alexis Rae Baumunk
- Be Well New England LLC
- Kaelyn Beach
- Linda Jo Beadle
- Emma Becker
- Jillian Beers
All providers in Mansfield, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.