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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

NPI # 1982688412
LBN Legal business name EXPERIENCE YOUR EYE SPECIALIST, PLC
Authorized official JANEL NORFLEET - (OPTOMETRIST OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/29/2005
Last updated 02/17/2010 - About 16 years ago
Identifiers
MI Medicaid 4487020
MI Other 900Z910390 BCBS
MI Other 1018658 MCLAREN
MI Other 1018659 MCLAREN
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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