Family & Pediatric Eye Care Plc in Grand Rapids - Vision Therapy
Family & Pediatric Eye Care Plc - NPI 1417137084
Family & Pediatric Eye Care Plc is a Vision Therapy in Grand Rapids, Michigan. Family & Pediatric Eye Care Plc practices all healthcare services and medical treatments related to Vision Therapy. The NPI Number for Family & Pediatric Eye Care Plc is 1417137084. The last update date is 2016-06-30.
Family & Pediatric Eye Care Plc's current location address is 144 Monroe Ctr Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164590641 and fax number 6164590621. The mailing address for Family & Pediatric Eye Care Plc is 144 Monroe Ctr Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family & Pediatric Eye Care Plc |
|---|---|
| Address | 144 Monroe Ctr Nw, Grand Rapids, Michigan |
| Phone Number | 6164590641 |
| Fax Number | 6164590621 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | STORE OWNE |
|---|---|
| Authorized Official Name | Fonger Ernest Gene |
| Credentials | OD |
| Telephone Number | 6164590641 |
NPI Number Detail
| NPI Number | 1417137084 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2016-06-30 |
Provider Mailing Address Detail
| Address | 144 Monroe Ctr Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032802 |
| Phone Number | 6164590641 |
| Fax Number | 6164590621 |
Provider's Primary Taxonomy Detail
| Speciality | Vision Therapy |
|---|---|
| Taxonomy | 152Wv0400X |
| Licence No | 4901004219 |
|
Definition: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900D114840 | MI | BCBS PIN # | |
| U92856 | MI | UPIN | |
| 0P19680 | MI | MEDICARE GROUP NUMBER | |
| T33048 | MI | UPIN | |
| 4599036 | MI | -- | |
| 900D114850 | MI | BCBS PIN # | |
| 5041964 | MI | -- |
Post Comment/ Review Below
What is the Family & Pediatric Eye Care Plc's 1417137084?
The Family & Pediatric Eye Care Plc's NPI (National Provider Identifier) Number is 1417137084. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Family & Pediatric Eye Care Plc's physical address?
The Family & Pediatric Eye Care Plc is physically located at 144 Monroe Ctr Nw, in the city of Grand Rapids, MI, with the postal code 495032802.
What is Family & Pediatric Eye Care Plc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Family & Pediatric Eye Care Plc's specialized field of practice is Vision Therapy, and the corresponding taxonomy code that categorizes this area of specialization is 152Wv0400X.
When did the Family & Pediatric Eye Care Plc receive its 1417137084?
The Family & Pediatric Eye Care Plc was issued its 1417137084 on 2007-11-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Family & Pediatric Eye Care Plc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Family & Pediatric Eye Care Plc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-30.
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