MEDICARE: BAY EYE MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1801899646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY EYE MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1665 DOMINICAN WAY STE 124
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1528
Country	:	US
Telephone Number	:	831-475-7012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1665 DOMINICAN WAY
Second Line	:	STE 124
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1528
Country	:	US
Telephone Number	:	831-475-7012
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	REX HSEI
Credential	:	MD
Telephone Number	:	831-475-7012

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/14/2026

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