Active NPI
Teoman Altay Ermete, OD
- Optometrist
- Lincoln Park, MI
National Provider Identifier
1407890171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003132
- Practice address
- 1755 Dix Hwy
Lincoln Park, MI 48146-1412 - Phone
- (313) 382-9650
- Fax
- (313) 382-3428
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003132 | MI | Primary |
Addresses
Primary practice location
1755 Dix Hwy
Lincoln Park, MI 48146-1412
Mailing address
9820 Levan Rd
Livonia, MI 48150-2533
Phone (313) 382-9650
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32415 5 Mile Rd
Livonia, MI 48154-3039
Phone (734) 525-8170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Michigan Professional LLC | Optometrist | Current | Accepting new patients |
| Eye Care Optometry Inc. | Optometrist | Past | Accepting new patients |
| Suburban Optometrics Assoc P C | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Eye Institute of South Eastern Michigan | Optometrist | Past | Accepting new patients |
| Luxottica Retail North America Inc | Past | Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
32415 5 Mile Rd
Livonia, MI 48154
Phone (734) 525-8170
123 S Shiawassee St
Owosso, MI 48867
Phone (989) 725-8422
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Chesaning, MI
- NPI 1053032912
-
- Optometrist
- Lincoln Park, MI
- NPI 1700099447
-
- Optometrist
- River Rouge, MI
- NPI 1831304765
-
- Eyewear Supplier
- Midland, MI
- NPI 1053457101
-
- Optometrist
- Livonia, MI
- NPI 1952518748
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407890171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9820 LEVAN RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502533",
"telephone_number": "313-382-9650",
"fax_number": "313-382-3428"
},
{
"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",
"fax_number": "313-382-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERMETE",
"first_name": "TEOMAN",
"middle_name": "ALTAY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.