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Contact Information

GENE FONGER, OD
144 MONROE CENTER ST NW
GRAND RAPIDS, MI49503-2802
 Phone: 616-459-0641
 Fax: 616-459-0621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for GENE FONGER · (Male)

NPI Number 1649226499
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/25/2006
Last updated 06/26/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901002505
  • MI Medicaid 5041964
  • MI Other 5474550001 ADMINASTAR
  • MI Other 900D114850 BCBS PIN #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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