Individual provider Active NPI

Teoman Altay Ermete, OD

  • Optometrist
  • Lincoln Park, MI
National Provider Identifier
1407890171
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003132 Issued in MI
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000066 MI Practitioner - Optometry 1355478140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

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

OrganizationSpecialtyStatusNew patients
Aeg Michigan Professional LLC Optometrist CurrentSince Dec 16, 2024 Accepting new patients
Eye Care Optometry Inc. Optometrist Past Accepting new patients
Suburban Optometrics Assoc P C Optometrist PastSince Dec 16, 2024 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Eye Institute of South Eastern Michigan Optometrist PastSince Sep 10, 2022 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.

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

Verify at the official NPI Registry.