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Great Lakes Eye Consultants Plc

Ophthalmology Physician in Traverse City, MI · enumerated 2007 · authorized official Peter Fedor, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164552972

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Eye Consultants Plc
Practice address 872 Munson Ave, Suite B, Traverse City, MI, 49686
Phone (231) 947-1690
Fax (231) 947-1692
Enumeration date Mar 7, 2007
Last updated in NPPES May 22, 2018

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 4301061885 (MI) Primary

Authorized official

Name Peter Fedor
Title Owner
Phone (231) 947-1690

Other identifiers

Identifier Type State Issuer
104609642 Medicaid MI -
104609651 Medicaid MI -
104609660 Medicaid MI -
104609633 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Great Lakes Eye Consultants Plc?
The NPI for Great Lakes Eye Consultants Plc is 1164552972, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Great Lakes Eye Consultants Plc?
NPPES lists Peter Fedor (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-22.