Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYNNETTE RAYE BLOSTICA, O.D.
ActiveDR. LYNNETTE RAYE BLOSTICA, O.D. is a Optometrist healthcare provider located in PORTAGE, Michigan. NPI 1053524884 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PORTAGE, MI
Registration Details
- NPI Number
- 1053524884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.25039192113 yrs)
- Last Updated
- Nov 17, 2022
- License
-
4901004446 (MI)
Practice Information
- Address
-
3412 W CENTRE AVEPORTAGE, MI, 490244624Browse MI providers · Browse ZIP 49024
- Phone
- 2693295860
- Fax
- 2693295865
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ALLEN ADAMS | O.D. | 1336137397 |
| DR. MARIE LOUISE FOX | O.D. | 1790773646 |
| KATIE LEE SIMON | O.D. | 1366429581 |
| FERRIS R STANDIFORD | O.D. | 1164485801 |
| MR. DAVID C MCCLINTIC | OD | 1053339598 |
| DAVID P WILLIAMS | O.D. | 1073681797 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.