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

Peter D Fedor, MD

Individual provider Ophthalmology Physician · NPI 1821087560

Peter D Fedor, MD is an Ophthalmology in Traverse City, Michigan. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

872 Munson Ave Ste B
Traverse City, MI 49686-3638
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 number1821087560
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 16, 2005
Last updated in NPPESMarch 2, 2015
Mailing addressPo Box 308, Acme, MI 49610-0308

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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