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GREAT LAKES EYE CONSULTANTS PLC
NPI 1164552972
Ophthalmology in Traverse City, MI

Active since March 07, 2007
872 MUNSON AVE, SUITE B, TRAVERSE CITY, MI 49686(231) 947-1690(231) 947-1692 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Eye Consultants Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES EYE CONSULTANTS PLC (NPI 1164552972) is a healthcare organization registered as an ophthalmology in Traverse City, Michigan and active in the NPI registry since March 2007. The organization lists Peter Fedor, Owner, as its authorized official.

NPPES Registry Identity

NPI1164552972
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGREAT LAKES EYE CONSULTANTS PLC
Location Address872 MUNSON AVE, SUITE BTraverse City, MI 49686
Mailing AddressPo Box 308Acme, MI 49610-0308 · (231) 947-1690 · Fax (231) 947-1692
Phone(231) 947-1690
Fax(231) 947-1692
Organization SubpartNo
Authorized OfficialPeter FedorOwner · (231) 947-1690
Enumeration DateMarch 7, 2007
Last NPPES UpdateMay 22, 2018
✔ NPI 1164552972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301061885
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
872 MUNSON AVE, Traverse City, MI 49686
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Other Identifiers 4

Medicaid104609642MI
Medicaid104609651MI
Medicaid104609633MI
Medicaid104609660MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL L KROPF O.D.
Optometrist
872 MUNSON AVE, SUITE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-1691
MARY TERESE MEERNIK O.D.
Optometrist
872 MUNSON AVE, SUITE B
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-1690
PETER D FEDOR MD
Ophthalmology
872 MUNSON AVE, SUITE B
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-1690
MARISSA WALKERDINE ROGERS DO PC
Family Medicine
872 MUNSON AVE, SUITE D
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Eye Consultants Plc's NPI number?

The NPI number for Great Lakes Eye Consultants Plc is 1164552972. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Great Lakes Eye Consultants Plc located?

Great Lakes Eye Consultants Plc is located at 872 Munson Ave Suite B, Traverse City, MI 49686. The listed phone number is (231) 947-1690.

What is Great Lakes Eye Consultants Plc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Great Lakes Eye Consultants Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Great Lakes Eye Consultants Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Eye Consultants Plc was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.