DR. GENE FONGER O.D. NPI 1649226499

NPI Information

  • NPI: 1649226499
  • Provider Name: DR. GENE FONGER, O.D.
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Individual
  • Address: 144 MONROE CENTER ST NW
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 459-0641

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NPI Details

DR. Gene Fonger, O.D. is a corneal and contact management optometrist in Grand Rapids, MI. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Gene Fonger, O.D. NPI is 1649226499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

144 MONROE CENTER ST NW
GRAND RAPIDS, MI
ZIP 49503-802
Phone: (616) 459-0641
Fax: (616) 459-0621

The enumeration date for this NPI number is 5/25/2006 and was last updated on 6/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management4901002505MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T33048MEDICARE UPINMICHIGAN
25041964MEDICAIDMICHIGAN
35474550001OTHERMICHIGANADMINASTAR
4P19680001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
5900D114850OTHERMICHIGANBCBS PIN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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