Individual provider Active NPI

Charles Ternes, OD

  • Optometrist
  • Livonia, MI
National Provider Identifier
1932750072
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005423 Issued in MI
Practice address
29474 7 Mile Rd
Livonia, MI 48152-1986
Phone
(248) 615-2815
Fax
(248) 615-3310
NPI assigned
Sep 20, 2019
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005423 MI Primary

Addresses

Primary practice location

29474 7 Mile Rd
Livonia, MI 48152-1986

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

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
I20191118001797 MI Practitioner - Optometry 0244662989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

1736 W Michigan Ave
Jackson, MI 49202-4005
Phone (517) 789-7131

2875 S Rochester Rd
Rochester Hills, MI 48307-4579
Phone (248) 852-5230

4576 Miller Rd
Flint, MI 48507-1122
Phone (810) 732-4100

6650 S Westnedge Ave
Suite 232
Portage, MI 49024-3503
Phone (269) 327-2881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005423MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
West Point Optical Group Optometrist PastSince Dec 1, 2020 Accepting new patients
Gary M. Moss, O.D. PastSince Sep 1, 2019 Accepting new patients
RX Optical Laboratories, Inc. Optometrist Past Accepting new patients

Locations

29474 7 Mile Rd
Livonia, MI 48152
Phone (248) 615-2815

44429 Ann Arbor Rd W
Plymouth, MI 48170
Phone (734) 416-0348

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1932750072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29474 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521986",
            "telephone_number": "248-615-2815",
            "fax_number": "248-615-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERNES",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.