Grand Blanc Eyes PLLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

GRAND BLANC EYES PLLC

Practice address

11225 S Saginaw St
Grand Blanc, MI 48439-1285

Phone

(810) 694-3937

Fax

(810) 694-9876

NPI assigned

Sep 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew John Agnone, O.D.NPI 1902327513

Title

Owner/Member

Phone

(810) 694-3937

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew John Agnone, OD

  • Optometrist
  • Grand Blanc, MI
  • NPI 1902327513
  Medicare reassignment Care Compare group NPD Authorized official
• Stacey A Alarie, O.D.

  • Optometrist
  • Grand Blanc, MI
  • NPI 1124111950
  Medicare reassignment Care Compare group NPD
• Morganne Paige Bayliss, OD

  • Optometrist
  • Birch Run, MI
  • NPI 1962062562
  Medicare reassignment Care Compare group NPD
• Ann A Walker, O.D.

  • Optometrist
  • Grand Blanc, MI
  • NPI 1114019114
  Medicare reassignment Care Compare group NPD
• Timothy Drew Walker, OD

  • Optometrist
  • Grand Blanc, MI
  • NPI 1265928717
  Medicare reassignment Care Compare group NPD
• Peter M Agnone, OD

  • Optometrist
  • Grand Blanc, MI
  • NPI 1477640845
  Medicare reassignment NPD
• Corrina Kay Fridline, D.C.

  • Chiropractor
  • Grand Blanc, MI
  • NPI 1730245929
  NPD
• Daniel Thomas Madar, D.C.

  • Chiropractor
  • Grand Blanc, MI
  • NPI 1669538856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1902998099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 S SAGINAW ST",
            "address_2": "SUITE 10",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391285",
            "telephone_number": "810-694-3937",
            "fax_number": "810-694-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391285",
            "telephone_number": "810-694-3937",
            "fax_number": "810-694-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC EYES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "AGNONE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "810-694-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900B511570",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0995464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Optician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.