Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lynnette Raye Blostica, OD

Individual provider Optometrist · NPI 1053524884

Dr. Lynnette Raye Blostica, OD is an Optometry in Portage, Michigan. Qualified in 2007, 19 years ago. Practices with Kalamazoo Ophthalmology PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3412 W Centre Ave
Portage, MI 49024-4624
Phone: (269) 329-5860
Fax: (269) 329-5865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004446 (MI)

Record details

NPI number1053524884
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Kalamazoo Ophthalmology Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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