Peters, Robert J

Peters, Robert J is an individual health care provider with primary practice located at 5050 Cascade Rd Se , Grand Rapids MI 49546-3725. He recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as his primary health care specialty. Peters, Robert J can be contacted via phone (616) 957-0866.

Contact Information

Primary practice address
5050 Cascade Rd Se Grand Rapids MI 49546-3725
Phone: (616) 957-0866
Fax: (616) 957-4102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 003979 Michigan

Profile Details

NPI number 1972553899
LBN Legal business name Peters, Robert J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972553899 NPPES
Michigan MEDICAID 4362760
Michigan Other 13857
Michigan Other 900D166360
Michigan Other 4362760
Michigan Other 13857
Michigan Other 900D166360

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