Individual
MRS. MONICA ANNE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
750 E BELTLINE AVE NE, STE 202, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Mailing address
750 E BELTLINE AVE NE, STE 202, GRAND RAPIDS, MI 49525-6046
(616) 949-2600
(616) 954-0213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410044559
MEDICARE RR
MI
05
—
4247543
—
MI
01
—
900G06541
BCBS
MI
Enumeration date
06/13/2005
Last updated
06/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us