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Contact Information

EXPERIENCE YOUR EYE SPECIALIST, PLC
3941 TRAXLER COURT
SUITE 100
BAY CITY, MI48706
 Phone: 989-684-7121
 Fax: 989-684-7677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EXPERIENCE YOUR EYE SPECIALIST PLC · (Female)

NPI Number 1982688412
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2005
Last updated 02/17/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 4487020
  • MI Other 900Z910390 BCBS
  • MI Other 1018658 MCLAREN
  • MI Other 1018659 MCLAREN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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