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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 Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GRAND BLANC EYES PLLC

NPI # 1902998099
LBN Legal business name GRAND BLANC EYES PLLC
Authorized official MATTHEW AGNONE - (OWNER/MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 02/25/2022 - About 4 years ago
Identifiers
MI Other 900B511570 BLUE CROSS BLUE SHIELD
MI Other 0995464 HEALTHPLUS OF MICHIGAN
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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