IndividualActive
Gene Fonger, O.D.
NPI 1649226499 · Corneal and Contact Management Optometrist · Grand Rapids, MI
Provider details
- NPI number
- 1649226499
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4901002505 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
144 Monroe Center St Nw
Grand Rapids, MI 49503-2802
Phone: (616) 459-0641
Fax: (616) 459-0621
Approximate (ZIP-level) locationGet directions
Mailing address
144 Monroe Center St Nw
Grand Rapids, MI 49503-2802
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2013-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.