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Organization

FLINT OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE M PAYNE (OFFICE MANAGER)
(810) 235-4607
Entity
Organization

Contact information

Practice address
518 S SAGINAW ST, FLINT, MI 48502-1804
(810) 235-4607
(810) 235-5232
Mailing address
PO BOX 819, FLINT, MI 48501-0819
(810) 235-4607
(810) 235-5232

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B57646
BCBS DME
MI
Enumeration date
03/23/2007
Last updated
11/03/2022
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