Family & Pediatric Eye Care Plc
LBN: Family & Pediatric Eye Care Plc
Family & Pediatric Eye Care Plc is an health care organization with primary practice located at 144 Monroe Center , Grand Rapids MI 49503-2802. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Pediatrics is the primary health care specialty.
Family & Pediatric Eye Care Plc can be contacted via phone (616) 459-0641, or through Fonger, Gene Ernest via phone (616) 459-0641.
Contact Information
Primary practice address
144 Monroe Center
Grand Rapids MI 49503-2802
Phone: (616) 459-0641
Fax: (616) 459-0621
Website:
Authorized official contact:
Name: Fonger, Gene Ernest Doctor of Optometry (OD)
Phone: (616) 459-0641
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901002505 | Michigan |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4901004219 | Michigan |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901004219 | Michigan |
Profile Details
| NPI number | 1417137084 |
|---|---|
| LBN Legal business name | Family & Pediatric Eye Care Plc |
| DBA Doing business as | |
| Authorized official | Fonger, Gene Ernest Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Jun 30th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417137084 | NPPES |
| Michigan | Other | 900D114840 | BCBS PIN # |
| Michigan | Other | U92856 | BCBS PIN # |
| Michigan | Other | 0P19680 | BCBS PIN # |
| Michigan | Other | T33048 | BCBS PIN # |
| Michigan | MEDICAID | 4599036 | BCBS PIN # |
| Michigan | Other | 900D114850 | BCBS PIN # |
| Michigan | MEDICAID | 5041964 | BCBS PIN # |
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