Ali Ayoub, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005838 Issued in MI

Practice address

1755 Dix Hwy
Lincoln Park, MI 48146-1412

Phone

(313) 382-9650

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Institute of South Eastern MichiganGroup PAC ID 6204727738, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Institute of South Eastern Michigan

  • Optometrist
  • River Rouge, MI
  • NPI 1831304765
  Medicare reassignment Care Compare group NPD
• Eye Care Optometry Inc.

  • Optometrist
  • Lincoln Park, MI
  • NPI 1700099447
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1336969930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461412",
            "telephone_number": "313-382-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israel Armijo, D.M.D
• Matthew Michael Artley, DDS
• Atto Drugs Inc (family care pharmacy ltc)
• Atto Drugs Inc (Family Care Pharmacy)
• Sinan Amir Atto
• B.S. Bohra M.D. P.C.
• B&K Pharmaceuticals PLLC (QuickScripts Rx)
• Back on Track Physical Therapy LLC
• Abir Barakat
• Joelee Ann Bateman, LMSW

• Optometrist in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.