Peter Fedor (NPI# 1821087560, PAC ID# 1052392263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1821087560 |
| PAC ID by PECOS | 1052392263 |
| Professional Enrollment ID | I20040525000875 |
| Full Name | Peter Fedor |
| Organization Legal Name | GREAT LAKES EYE CONSULTANTS PLC |
| Address |
872 Munson Ave B Traverse City MI 49686-3638 |
| Phone Number | 2319471690 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6507830684 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230081 | MUNSON HEALTHCARE CADILLAC HOSPITAL |
| 230097 | MUNSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 872 Munson Ave B, Traverse City, MI 49686-3638 | 2319471690 | GREAT LAKES EYE CONSULTANTS PLC |
| Organization Legal Name | GREAT LAKES EYE CONSULTANTS PLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Terese Meernik | Optometry | Great Lakes Eye Consultants Plc | 872 Munson Ave B, Traverse City, MI 49686-3638 |
| Carolyn M Pierce | Optometry | Great Lakes Eye Consultants Plc | 872 Munson Ave B, Traverse City, MI 49686-3638 |
| Street Address |
872 MUNSON AVE B |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49686-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Terese Meernik | Optometry | Great Lakes Eye Consultants Plc | 872 Munson Ave B, Traverse City, MI 49686-3638 |
| Carolyn M Pierce | Optometry | Great Lakes Eye Consultants Plc | 872 Munson Ave B, Traverse City, MI 49686-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Robert Frew Jr. | Family Medicine | 814 S Garfield Ave C, Frew Care Clinic, Traverse City, MI 49686-2401 | |
| Lindsay M Best | Family Medicine | Best Medical Services Plc | 814 S Garfield Ave, Suite C, Traverse City, MI 49686-2401 |
| Mary A Joslin | Clinical Social Worker | 814 S Garfield Ave, Suite B, Traverse City, MI 49686-2401 | |
| David Kenneth Best | Family Medicine | Best Medical Services Plc | 814 S Garfield Ave, Suite C, Traverse City, MI 49686-2401 |
| Judy G Hayes Daly | Clinical Social Worker | 814 S Garfield Ave, Suite B, Traverse City, MI 49686-2401 | |
| Bruce G Douglass | Psychologist, Clinical | 934 S Garfield Ave C, Traverse City, MI 49686-2402 | |
| Peter J Zoutendyk Jr. | Clinical Social Worker | 810 S Garfield Ave, Suite B, Traverse City, MI 49686-2406 | |
| Dustine K Murphy | Chiropractic | Murphy Chiropractic, Plc. | 616 E 8th St, Suite 1, Traverse City, MI 49686-2505 |
| Michael P Murphy | Chiropractic | Murphy Chiropractic, Plc. | 616 E 8th St, Suite 1, Traverse City, MI 49686-2505 |
| Amy Irene Mummert | Optometry | 522 E 8th St, Traverse City, MI 49686-2629 | |
| Find all physicians in zip 49686 | |||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TRAVERSE CITY + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.