National Provider Identifier Database

FAMILY PEDIATRIC EYE CARE PLC
Pediatrics

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.


Contact Information

FAMILY & PEDIATRIC EYE CARE PLC
144 MONROE CENTER
GRAND RAPIDS, MI49503-2802
Phone: 616-459-0641
Fax: 616-459-0621
Website:
Specialty Taxonomy Code
* Pediatrics 152WP0200X
Corneal and Contact Management 152WC0802X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for FAMILY & PEDIATRIC EYE CARE PLC

NPI Number 1417137084
Legal business name
LBN
FAMILY & PEDIATRIC EYE CARE PLC
Authorized official GENE FONGER - (STORE OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/12/2007
Last updated 06/30/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4901002505
  • MI License #: 4901004219
  • MI Medicaid: 4599036
  • MI Medicaid: 5041964
  • MI Other: 900D114840 BCBS PIN #
  • MI Other: 900D114850 BCBS PIN #
  • MI Other: 0P19680 MEDICARE GROUP NUMBER
  • MI Other: T33048 UPIN
  • MI Other: U92856 UPIN

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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