Organization Active NPI

Experience Your Eye Specialist, PLC

Doing business as Eyes

  • Optometrist
  • Bay City, MI
National Provider Identifier
1982688412
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EXPERIENCE YOUR EYE SPECIALIST, PLC
Doing business as
Eyes
Practice address
3941 Traxler Court
Suite 100
Bay City, MI 48706
Phone
(989) 684-7121
Fax
(989) 684-7677
NPI assigned
Nov 29, 2005
Last updated
Feb 17, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
EXPERIENCE YOUR EYE SPECIALIST, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. Janel C Norfleet, ODNPI 1699759126
Title
Optometrist Owner
Phone
(989) 684-7121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3941 Traxler Court
Suite 100
Bay City, MI 48706

Mailing address

3941 Traxler Court
Suite 100
Bay City, MI 48706
Phone (989) 684-7121

Other identifiers 4

IdentifierTypeStateIssuer
1018658OtherMIMCLAREN
900Z910390OtherMIBCBS
4487020MedicaidMI
1018659OtherMIMCLAREN

Other names 1

  • EYES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000339 MI Part B Supplier - Clinic/Group Practice 5092840769 Receives reassigned benefits from 2 practitioners
Practice locations: Bay City, MI; Standish, MI

National Provider Directory

National Provider Directory
Part of
Experience Your Eye PLC

Locations

3941 Traxler Ct
Ste 100
Bay City, MI 48706
Phone (989) 684-7121

529 S Main St
Ste A
Standish, MI 48658
Phone (989) 846-6009

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1982688412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 TRAXLER COURT",
            "address_2": "SUITE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-684-7121",
            "fax_number": "989-684-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 TRAXLER COURT",
            "address_2": "SUITE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-684-7121",
            "fax_number": "989-684-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE YOUR EYE SPECIALIST, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXPERIENCE YOUR EYE SPECIALIST, PLC",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "NORFLEET",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "989-684-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1018658",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900Z910390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4487020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1018659",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.