Deflonty, Johnny L
Deflonty, Johnny L is an individual health care provider with primary practice located at Great Lakes Eye Institute 2393 Schust Rd, Saginaw MI 48603. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deflonty, Johnny L can be contacted via phone (989) 793-2820.Contact Information
Primary practice address
Great Lakes Eye Institute 2393 Schust Rd
Saginaw MI 48603
Phone: (989) 793-2820
Fax: (989) 793-9132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002489 | Michigan |
Profile Details
| NPI number | 1639162233 |
|---|---|
| LBN Legal business name | Deflonty, Johnny L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639162233 | NPPES |
| Michigan | Other | 4901002489 | LICENSE # |
| Michigan | MEDICAID | 4618893 | LICENSE # |
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