National Provider Identifier Database

GRAND BLANC EYES PLLC
Optician


Contact Information

GRAND BLANC EYES PLLC
11225 S SAGINAW ST
GRAND BLANC, MI48439-1285
Phone: 810-694-3937
Fax: 810-694-9876
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for GRAND BLANC EYES PLLC

NPI Number 1902998099
Legal business name
LBN
GRAND BLANC EYES PLLC
Authorized official MATTHEW AGNONE - (OWNER/MEMBER)
Entity Organization
Organization subpart No
Enumeration date 09/28/2006
Last updated 02/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 900B511570 BLUE CROSS BLUE SHIELD
  • MI Other: 0995464 HEALTHPLUS OF MICHIGAN

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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