GRAND BLANC EYES PLLC
NPI 1902998099
Technician/Technologist - Optician in Grand Blanc, MI

Active since September 28, 2006
11225 S SAGINAW ST, GRAND BLANC, MI 48439(810) 694-3937(810) 694-9876 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2022, Jan 29, 2020 (2 updates tracked since 2020).

About Grand Blanc Eyes Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND BLANC EYES PLLC (NPI 1902998099) is a healthcare organization registered as an optician in Grand Blanc, Michigan and active in the NPI registry since September 2006. The organization lists Matthew John Agnone, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1902998099
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameGRAND BLANC EYES PLLC
Location Address11225 S SAGINAW STGrand Blanc, MI 48439-1285
Mailing Address11225 S Saginaw St, Suite 10Grand Blanc, MI 48439-1285 · (810) 694-3937 · Fax (810) 694-9876
Fax(810) 694-9876
Organization SubpartNo
Authorized OfficialMatthew John AgnoneOwner/member · (810) 694-3937
Enumeration DateSeptember 28, 2006
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1902998099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
11225 S SAGINAW ST, Grand Blanc, MI 48439

Other Identifiers 2

Other900B511570MI · Blue Cross Blue Shield
Other0995464MI · Healthplus Of Michigan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Blanc Eyes Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20101022001064Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Grand Blanc Eyes PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1902327513
11225 S SAGINAW ST
Grand Blanc, MI 48439
(810) 694-3937
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1477640845
11225 S SAGINAW ST
Grand Blanc, MI 48439
(810) 694-3937
✔ PECOSSame address
Optometry
NPI 1124111950
11225 S SAGINAW ST
Grand Blanc, MI 48439
(810) 694-3937
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1114019114
11225 S SAGINAW ST
Grand Blanc, MI 48439
(810) 694-3937
✔ PECOSSame address
Optometry
NPI 1265928717
11225 S SAGINAW ST
Grand Blanc, MI 48439
(810) 694-3937
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1962062562
8470 MAIN ST
Birch Run, MI 48415
(989) 624-2020
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Grand Blanc Eyes PLLC carries, from the Medicare DMEPOS supplier directory.

Grand Blanc Eyes PLLC

DMEPOS supplier · Grand Blanc, MI
✔

Accepts Medicare assignment

Grand Blanc Eyes PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20575565
Medicare Participant SinceJanuary 1, 2006
Supplier Location11225 S Saginaw St Ste 10Grand Blanc, MI 48439
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Blanc Eyes PLLC's NPI number?

The NPI number for Grand Blanc Eyes PLLC is 1902998099. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Grand Blanc Eyes PLLC located?

Grand Blanc Eyes PLLC is located at 11225 S Saginaw St, Grand Blanc, MI 48439. The listed phone number is (810) 694-3937.

What is Grand Blanc Eyes PLLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is Grand Blanc Eyes PLLC enrolled in Medicare?

Yes. Grand Blanc Eyes PLLC is registered in the Medicare PECOS enrollment system.

When is Grand Blanc Eyes PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Grand Blanc Eyes PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Grand Blanc Eyes PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grand Blanc Eyes PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Grand Blanc Eyes PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Grand Blanc Eyes PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Grand Blanc Eyes PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Blanc Eyes PLLC was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.