Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD PETERS IV, OD
Active Sole ProprietorOptometrist · ST. JOHNS, MI
Registration Details
- NPI Number
- 1134613680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2018 (7.8709791982358 yrs)
- Last Updated
- Jun 19, 2018
- License
-
4901005114 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1002 OLD U.S. 27ST. JOHNS, MI, 48879Browse MI providers · Browse ZIP 48879
- Phone
- 9892243937
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.