Lynnette Raye Blostica in Portage - Optometrist
Lynnette Raye Blostica - NPI 1053524884
Lynnette Raye Blostica is a Optometrist in Portage, Michigan. Lynnette Raye Blostica practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lynnette Raye Blostica is 1053524884. The last update date is 2022-11-17.
Lynnette Raye Blostica's current location address is 3412 W Centre Ave, Portage, Michigan. You can contact this provider via phone number 2693295860 and fax number 2693295865. The mailing address for Lynnette Raye Blostica is 3412 W Centre Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynnette Raye Blostica |
|---|---|
| Address | 3412 W Centre Ave, Portage, Michigan |
| Phone Number | 2693295860 |
| Fax Number | 2693295865 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1053524884 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 3412 W Centre Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490244624 |
| Phone Number | 2693295860 |
| Fax Number | 2693295865 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901004446 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 945215713 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lynnette Raye Blostica by the Centers for Medicare & Medicaid Services?
The Lynnette Raye Blostica has been assigned the NPI (National Provider Identifier) 1053524884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lynnette Raye Blostica's facilities are situated?
The facilities of Lynnette Raye Blostica are physically located at the following address: 3412 W Centre Ave, Portage, MI, 490244624.
What is Lynnette Raye Blostica's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lynnette Raye Blostica's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Lynnette Raye Blostica receive the assignment of its 1053524884 from the Centers for Medicare & Medicaid Services?
The Lynnette Raye Blostica was issued its 1053524884 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date were the details related to Lynnette Raye Blostica most recently updated or revised?
The information pertaining to Lynnette Raye Blostica, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-17.
NPI Number: 1255391348
Address: 2331 N State Road 7, Lauderdale Lakes, FL