NPIMap

Organization Active NPI

Bay Eye Center PC

  • Optometrist
  • Mansfield, MA
National Provider Identifier
1790700946
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4162 Issued in 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
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Timothy T Lynch, ODNPI 1437174547
Title
President
Phone
(774) 279-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4162 MA Primary

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 1

  • Bay State Eye Care, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041022000845 MA Part B Supplier - Clinic/Group Practice 4587625595 Receives reassigned benefits from 16 practitioners
Practice locations: Mansfield, MA; Plymouth, MA

National Provider Directory

National Provider Directory

Locations

1 N Main St
Mansfield, MA 02048
Phone (508) 339-7600

284 N Main St
Ste A
Mansfield, MA 02048
Phone (508) 339-7600

20 Roche Brothers Way
Ste 7
North Easton, MA 02356
Phone (508) 238-5200

300 Colony Place Rd
Plymouth, MA 02360
Phone (508) 830-3443

67 Obery St
Plymouth, MA 02360
Phone (508) 339-7600

36 Paramount Dr
Raynham, MA 02767
Phone (508) 822-7122

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1790700946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482227",
            "telephone_number": "508-339-7600",
            "fax_number": "508-339-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482227",
            "telephone_number": "508-339-7600",
            "fax_number": "508-339-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Obery St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602181",
            "country_code": "US",
            "telephone_number": "508-339-7600",
            "fax_number": "508-339-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Roche Bros Way Ste 7",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561030",
            "country_code": "US",
            "telephone_number": "508-238-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-279-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay State Eye Care, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.