Fenton, Monica Anne

Fenton, Monica Anne is an individual health care provider with primary practice located at 750 E Beltline Ave Ne Ste 202, Grand Rapids MI 49525-6049. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fenton, Monica Anne can be contacted via phone (616) 949-2600.

Contact Information

Primary practice address
750 E Beltline Ave Ne Ste 202 Grand Rapids MI 49525-6049
Phone: (616) 949-2600
Fax: (616) 365-2076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004006 Michigan

Profile Details

NPI number 1427052919
LBN Legal business name Fenton, Monica Anne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 9th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427052919 NPPES
Michigan MEDICAID 4247543
Michigan Other 410044559
Michigan Other 900G06541

Popular Providers