Dr. Lynnette Raye Blostica

O.D. | Optometrist | 17+ years Exp


  
3412 W Centre Ave, Portage
Michigan, 49024-4624

 269-329-5860     269-329-5865Maps & Directions
Dr. Lynnette Raye Blostica is a Portage, Michigan based female Optometrist with 17 years of experience in Optometry. She completed her graduation from Other in 2007. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Lynnette Raye Blostica is 4901004446 for Optometry in Michigan.
Dr. Lynnette Raye Blostica examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Lynnette Raye Blostica speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 17+ years
Medical School Attended:Other
Graduation Year:2007
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:3412 W Centre Ave, Portage,
Michigan, 49024-4624
Phone:269-329-5860
Fax:269-329-5865
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4284724113
Enrollment ID: I20071217000091
NPI Number: 1053524884
NPI Enumeration Date: 08 May, 2007
NPI Last Update On: 17 Nov, 2022

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lynnette Raye Blostica are as mentioned below.
License NumberSpecializationStateStatus
4901004446Optometry MichiganPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Lynnette Raye Blostica has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Kalamazoo Ophthalmology Pc (8628112380)5
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lynnette Raye Blostica such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
945215713MedicaidMichigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3412 W Centre Ave,
Portage, Michigan
Zip: 49024-4624
Phone Number: 269-329-5860
Fax Number: 269-329-5865
Patients can reach Dr. Lynnette Raye Blostica at 3412 W Centre Ave, Portage, Michigan or can call to book an appointment on 269-329-5860. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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