Dr Lynnette Raye Blostica, OD | |
3412 W Centre Ave, Portage, MI 49024-4624 | |
(269) 329-5860 | |
(269) 329-5865 |
Full Name | Dr Lynnette Raye Blostica |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 17 Years |
Location | 3412 W Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053524884 | NPI | - | NPPES |
945215713 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004446 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kalamazoo Ophthalmology Pc | 8628112380 | 5 |
Provider Name | Kalamazoo Ophthalmology Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467475723 PECOS PAC ID: 8628112380 Enrollment ID: O20100218000226 |
Mailing Address | Practice Location Address |
---|---|
Dr Lynnette Raye Blostica, OD 3412 W Centre Ave, Portage, MI 49024-4624 Ph: (269) 329-5860 | Dr Lynnette Raye Blostica, OD 3412 W Centre Ave, Portage, MI 49024-4624 Ph: (269) 329-5860 |
Dr. Katie Lynne Sutter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6101 Newport Rd Ste A, Portage, MI 49002 Phone: 269-382-6500 Fax: 269-382-2286 | |
Mr. David C Mcclintic, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6123 S Westnedge Ave, Portage, MI 49002 Phone: 269-327-7079 Fax: 269-327-7165 | |
David P Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 410 E Centre Ave, Portage, MI 49002 Phone: 269-327-4454 Fax: 269-327-8717 | |
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6650 S Westnedge Ave, Suite 232, Portage, MI 49024 Phone: 269-237-2881 | |
Dr. Steven S. Ellinger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 | |
Ferris R Standiford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3412 W Centre Ave, Portage, MI 49024 Phone: 269-329-5870 Fax: 269-329-5865 |