Individual
JOHNNY L DEFLONTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
GREAT LAKES EYE INSTITUTE, 2393 SCHUST RD, SAGINAW, MI 48603
(989) 793-2820
(989) 793-9132
Mailing address
GREAT LAKES EYE INSTITUTE, 2393 SCHUST RD, SAGINAW, MI 48603
(989) 793-2820
(989) 793-9132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4618893
—
MI
01
—
4901002489
LICENSE #
MI
Enumeration date
08/30/2005
Last updated
07/08/2007
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