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Contact Information

MY OPTICAL LIFE
7500 FENTON RD
GRAND BLANC, MI48439-7510
 Phone: 810-771-4064
 Fax: 810-771-4095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens

156FC0800X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Ophthalmic Technician/Technologist

156FX1100X
 

Optometric Assistant Technician

156FX1201X
Indicates primary specialty

NPI Profile & details for MY OPTICAL LIFE

NPI # 1003346651
LBN Legal business name MY OPTICAL LIFE
Authorized official ABRAHAM CURETON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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