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FAMILY & PEDIATRIC EYE CARE PLC
NPI 1417137084
Optometrist - Pediatrics in Grand Rapids, MI

Active since November 12, 2007
144 MONROE CENTER, GRAND RAPIDS, MI 49503(616) 459-0641(616) 459-0621 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family & Pediatric Eye Care Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY & PEDIATRIC EYE CARE PLC (NPI 1417137084) is a healthcare organization registered as a pediatrics in Grand Rapids, Michigan and active in the NPI registry since November 2007. The organization lists Gene Ernest Fonger, Store Owner, as its authorized official.

NPPES Registry Identity

NPI1417137084
Entity TypeOrganization
Primary Taxonomy152WP0200X
Legal Business NameFAMILY & PEDIATRIC EYE CARE PLC
Location Address144 MONROE CENTERGrand Rapids, MI 49503-2802
Mailing Address144 Monroe Ctr NwGrand Rapids, MI 49503-2802 · (616) 459-0641 · Fax (616) 459-0621
Phone(616) 459-0641
Fax(616) 459-0621
Organization SubpartNo
Authorized OfficialGene Ernest FongerStore Owner · (616) 459-0641
Enumeration DateNovember 12, 2007
Last NPPES UpdateJune 30, 2016
✔ NPI 1417137084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in MI · 4901004219
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 4901002505 (MI)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 4901004219 (MI)
144 MONROE CENTER, Grand Rapids, MI 49503
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Other Identifiers 10

Other900D114840MI · Bcbs Pin #
OtherU92856MI · Upin
Medicaid5041964MI
Medicare PINP19680002MI
Other900D114850MI · Bcbs Pin #
Medicare NSC5474550001MI
Medicare PINP19680001MI
Other0P19680MI · Medicare Group Number
OtherT33048MI · Upin
Medicaid4599036MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family & Pediatric Eye Care Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Family & Pediatric Eye Care Plc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Kiersten Coon, O.D.
Optometry
NPI 1033159348
144 MONROE CENTER ST NW
Grand Rapids, MI 49503
(616) 459-0641
✔ PECOS✔ Accepts MedicareSame address
Jordan Kuipers, O.D.
Optometry
NPI 1639459019
5838 METRO WAY
Wyoming, MI 49519
(616) 249-5300
✔ PECOS7.8 mi
Justin Ullrey, O.D.
Optometry
NPI 1982263711
25 N MAIN ST
Rockford, MI 49341
(616) 866-3077
✔ PECOS12 mi
Donald Rademacher, O.D.
Optometry
NPI 1124370366
2040 AURELIUS RD SUITE 20
Holt, MI 48842
(517) 699-3937
✔ PECOS✔ Accepts Medicare63 mi
Allison Dickson, OD
Optometry
NPI 1528547031
601 S BELCHER RD
Clearwater, FL 33764
(727) 266-2393
✔ PECOS✔ Accepts Medicare1,048 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family & Pediatric Eye Care Plc's NPI number?

The NPI number for Family & Pediatric Eye Care Plc is 1417137084. It was assigned to this organization in the NPPES registry on November 12, 2007.

Where is Family & Pediatric Eye Care Plc located?

Family & Pediatric Eye Care Plc is located at 144 Monroe Center, Grand Rapids, MI 49503. The listed phone number is (616) 459-0641.

What is Family & Pediatric Eye Care Plc's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Family & Pediatric Eye Care Plc enrolled in Medicare?

Yes. Family & Pediatric Eye Care Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family & Pediatric Eye Care Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Family & Pediatric Eye Care Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family & Pediatric Eye Care Plc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Family & Pediatric Eye Care Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family & Pediatric Eye Care Plc was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.