Family & Pediatric Eye Care PLC
NPI 1417137084ActiveOrganization· Optometrist, Pediatrics· Grand Rapids, MI
Optometrist, Pediatrics in Grand Rapids, Michigan, registered in NPPES in November 2007. The authorized official on file is Gene Ernest Fonger, OD, Store Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417137084 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2007 |
| Last updated in NPPES | Jun 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Pediatrics Primary | 152WP0200X | 4901004219 | MI |
| Optometrist, Corneal and Contact Management | 152WC0802X | 4901002505 | MI |
| Optometrist, Vision Therapy | 152WV0400X | 4901004219 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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