Family & Pediatric Eye Care Plc
NPI #1417137084 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1417137084
- Entity Type
- Organization
- Organization Name
- Family & Pediatric Eye Care Plc
- Primary Specialty
- Optometrist - Pediatrics
- Enumeration Date
- Nov 12, 2007
- Last Updated
- Jun 30, 2016
Practice Location
- Address
- 144 MONROE CENTER
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-2802
- Phone
- (616) 459-0641
Authorized Official
- Name
- MR. GENE ERNEST FONGER, OD
- Title
- STORE OWNER
- Phone
- (616) 459-0641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Corneal and Contact Management — Corneal and Contact Management |
| Optometrist - Vision Therapy — Vision Therapy |
| Optometrist - Pediatrics — Pediatrics |
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