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Contact Information

EDWARD PETERS IV, OD
1002 OLD U.S. 27
SAINT JOHNS, MI48879
 Phone: 989-224-3937
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EDWARD PETERS IV · (Male)

NPI # 1134613680
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/19/2018
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4901005114
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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