GRAND BLANC EYES PLLC (NPI# 1902998099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902998099 |
| Entity Type | Organization |
| Organization Name | GRAND BLANC EYES PLLC |
| Practice Address |
11225 S Saginaw St Grand Blanc MI 48439-1285 |
| Mailing Address |
11225 S Saginaw St Suite 10 Grand Blanc MI 48439-1285 |
| Practice Telephone | 8106943937 |
| Practice Fax Number | 8106949876 |
| Mailing Telephone | 8106943937 |
| Mailing Fax Number | 8106949876 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | DR. PETER M AGNONE JR. (PRESIDENT) |
| Authorized Official Telephone | 8106943937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 900B511570 | 01 |
| MI | HEALTHPLUS OF MICHIGAN | 0995464 | 01 |
| Street Address |
11225 S SAGINAW ST |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-1285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114019114 | Ann A Walker | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2006-09-28 |
| 1265928717 | Timothy Drew Walker | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2018-07-09 |
| 1902327513 | Matthew John Agnone | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2017-07-05 |
| 1437215639 | Complete Chiropractic Care, Inc | Chiropractor | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2006-12-29 |
| 1730245929 | Corrina Kay Fridline | Chiropractor | 11225 S Saginaw St, 15, Grand Blanc, MI 48439-1285 | 2006-12-29 |
| 1669538856 | Daniel Thomas Madar | Chiropractor | 11225 S Saginaw St, 15, Grand Blanc, MI 48439-1285 | 2006-12-29 |
| 1477640845 | Peter M Agnone | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2006-10-06 |
| 1124111950 | Stacey A Alarie | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073816989 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6315 Dort Hwy, Grand Blanc, MI 48439-2704 | 2010-12-15 |
| 1427130343 | Wal-mart Stores East, Lp | Technician/Technologist | 6170 S Saginaw Rd, Grand Blanc, MI 48439-7026 | 2006-10-19 |
| 1518059161 | Sam's Club Optical | Technician/Technologist | 6160 S Saginaw Rd, Grand Blanc, MI 48439-7026 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201420 | William Wise | Technician/Technologist | 410 North St, Otisville, MI 48463-9705 | 2019-12-10 |
| 1033750658 | American Eye Institute Optical Inc | Technician/Technologist | 2300 Haggerty Rd Ste 1100, West Bloomfield, MI 48323-2185 | 2019-10-04 |
| 1225595705 | National Vision Inc | Technician/Technologist | 1328 S Rochester Rd, Rochester Hills, MI 48307-3124 | 2019-02-21 |
| 1184191306 | National Vision Inc | Technician/Technologist | 50697 Waterside Dr, Chesterfield, MI 48051-4008 | 2018-10-25 |
| 1275045916 | W. Optical 4 LLC | Technician/Technologist | 1004 28th St Sw, Wyoming, MI 49509-2881 | 2017-11-03 |
| 1164932489 | Salim Rufo Auraha | Technician/Technologist | 3747 15 Mile Rd, Sterling Heights, MI 48310-5358 | 2017-10-02 |
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1811434293 | Joseph Frye-dandridge | Technician/Technologist | 18669 Oakfield St, Detroit, MI 48235-3060 | 2017-01-24 |
| 1689110710 | W. Optical 2 LLC | Technician/Technologist | 3233 Alpine Ave Nw Ste A, Grand Rapids, MI 49544-1631 | 2017-01-12 |
| 1811377740 | Kat Stannis LLC | Technician/Technologist | 1794 N Old Us 23, Howell, MI 48843-7193 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on GRAND BLANC EYES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.