FAMILY & PEDIATRIC EYE CARE PLC (NPI# 1417137084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417137084 |
| Entity Type | Organization |
| Organization Name | FAMILY & PEDIATRIC EYE CARE PLC |
| Practice Address |
144 Monroe Center Grand Rapids MI 49503-2802 |
| Mailing Address |
144 Monroe Ctr Nw Grand Rapids MI 49503-2802 |
| Practice Telephone | 6164590641 |
| Practice Fax Number | 6164590621 |
| Mailing Telephone | 6164590641 |
| Mailing Fax Number | 6164590621 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | MR. GENE ERNEST FONGER (STORE OWNER) |
| Authorized Official Telephone | 6164590641 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4901002505 | MI | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4901004219 | MI | Eye and Vision Services Providers |
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901004219 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | UPIN | U92856 | 01 |
| MI | BCBS PIN # | 900D114850 | 01 |
| MI | UPIN | T33048 | 01 |
| MI | BCBS PIN # | 900D114840 | 01 |
| MI | 5041964 | 05 | |
| MI | MEDICARE GROUP NUMBER | 0P19680 | 01 |
| MI | 4599036 | 05 |
| Street Address |
144 MONROE CENTER |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225278880 | Pediatric Ophthalmology PC | Optometrist | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3707 | 2009-02-23 |
| 1972553899 | Robert J Peters | Optometrist | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043651128 | Katie Lynne Sutter | Optometrist | 6101 Newport Rd Ste A, Portage, MI 49002-9237 | 2013-07-17 |
| 1922350214 | Children's Eye Care PC | Optometrist | 42700 Garfield, Ste 200, Clinton Twp, MI 48038 | 2012-10-10 |
| 1205827383 | Paul Kent Voreis | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2005-10-29 |
| 1235481516 | Children's Eye Care, PC | Optometrist | 7001 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322-3604 | 2012-10-10 |
| 1568714855 | Children's Eye Care, PC | Optometrist | 3901 Beaubien St, Detroit, MI 48201-2119 | 2012-10-10 |
| 1467704759 | Children's Eye Care, PC | Optometrist | 22731 Newman St Ste 245, Dearborn, MI 48124-2023 | 2012-10-10 |
| 1124338736 | Swan Optometry Services, PC | Optometrist | 25 N Main St, Rockford, MI 49341-1281 | 2010-10-15 |
| 1588680938 | Dr Heidi Johnson Od PC | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2006-07-15 |
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on FAMILY & PEDIATRIC EYE CARE PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.