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

Dr. Michael R Petersen, MD

Individual provider Ophthalmology Physician · NPI 1629005160

Dr. Michael R Petersen, MD is an Ophthalmology in Ypsilanti, Michigan. Graduated from University of Miami, Lm Miller School of Medicine in 1986, 40 years ago. Practices with Cei Physicians PSC, LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
40
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
MI, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2000 N Huron River Dr Ste 100
Ypsilanti, MI 48197
Phone: (734) 572-1200
Fax: (734) 572-9760
Show map & directions

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

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 4301406847 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 35-06-3107 (OH)

Record details

NPI number1629005160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address39650 Orchard Hill Pl Ste 200, Novi, MI 48375-5391

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Cei Physicians Psc, Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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