Type 2 organization · NPI 1003346651
MY OPTICAL LIFE
156FX1800X · GRAND BLANC, MI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 156FX1800X | 156FX1800X | Primary |
| 156FC0800X | 156FC0800X | Additional |
| 156FX1100X | 156FX1100X | Additional |
| 156FX1201X | 156FX1201X | Additional |
| 332H00000X | 332H00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s