IndividualActive
Robert Peters, OD
NPI 1972553899 · Pediatric Optometrist · Grand Rapids, MI
Provider details
- NPI number
- 1972553899
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 003979 (MI)
Practice location
5050 Cascade Rd Se
Grand Rapids, MI 49546-3725
Phone: (616) 957-0866
Fax: (616) 957-4102
Mailing address
5050 Cascade Rd Se
Grand Rapids, MI 49546-3725
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2013-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.