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

Dr. Edward Peters IV, OD

Individual provider Optometrist · NPI 1134613680

Dr. Edward Peters IV, OD is an Optometry in St Johns, Michigan. Graduated from Michigan College of Medicine and Surgery in 2018, 8 years ago. Practices with Avery Vision Center PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Michigan College of Medicine and Surgery
Licensed in
MI
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1002 Old U.s 27
St Johns, MI 48879
Phone: (989) 224-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005114 (MI)

Record details

NPI number1134613680
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolMICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduated 2018 (8 years in practice)
Group practice Avery Vision Center Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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