Grand Blanc Eyes PLLC
NPI 1902998099ActiveOrganization· Technician/Technologist, Optician· Grand Blanc, MI
Technician/Technologist, Optician in Grand Blanc, Michigan, registered in NPPES in September 2006. The authorized official on file is Matthew John Agnone, O.D., Owner/Member. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1902998099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Feb 25, 2022 |
| Certified by provider | Feb 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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