Johnny L Deflonty in Saginaw - Optometrist
Johnny L Deflonty - NPI 1639162233
Johnny L Deflonty is a Optometrist in Saginaw, Michigan. Johnny L Deflonty practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Johnny L Deflonty is 1639162233. The last update date is 2007-07-08.
Johnny L Deflonty's current location address is Great Lakes Eye Institute, Saginaw, Michigan. You can contact this provider via phone number 9897932820 and fax number 9897939132. The mailing address for Johnny L Deflonty is Great Lakes Eye Institute, Saginaw, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny L Deflonty |
|---|---|
| Address | Great Lakes Eye Institute, Saginaw, Michigan |
| Phone Number | 9897932820 |
| Fax Number | 9897939132 |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1639162233 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Great Lakes Eye Institute |
|---|---|
| City | Saginaw |
| State | Michigan (MI) |
| Post Code | 48603 |
| Phone Number | 9897932820 |
| Fax Number | 9897939132 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002489 |
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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 |
|---|---|---|---|
| 4901002489 | MI | LICENSE # | |
| 4618893 | MI | -- |
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What is the unique provider identifier assigned to Johnny L Deflonty?
The Johnny L Deflonty has been issued the NPI (National Provider Identifier) 1639162233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Johnny L Deflonty?
The Johnny L Deflonty is situated at Great Lakes Eye Institute, in the city of Saginaw, state of MI, with the zip code 48603.
What is Johnny L Deflonty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Johnny L Deflonty is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639162233 to Johnny L Deflonty?
The Centers for Medicare & Medicaid Services originally issued the 1639162233 to Johnny L Deflonty on 2005-08-30.
When was the information regarding Johnny L Deflonty, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Johnny L Deflonty, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.