Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Eye Consultants PLC

Organization Ophthalmology Physician · NPI 1164552972

Great Lakes Eye Consultants PLC is an Ophthalmology Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

872 Munson Ave Ste B
Traverse City, MI 49686
Phone: (231) 947-1690
Fax: (231) 947-1692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301061885 (MI)

Record details

NPI number1164552972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Fedor — Owner · (231) 947-1690
NPI enumeratedMarch 7, 2007
Last updated in NPPESMay 22, 2018
Mailing addressPo Box 308, Acme, MI 49610-0308

Other providers in Traverse City