Individual provider Active NPI

Julie A Metzger Aubuchon, OD

  • Optometrist
  • Florence, KY
National Provider Identifier
1144280678
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1271DT Issued in KY
Practice address
6901 Dixie Hwy
Florence, KY 41042-2007
Phone
(859) 525-1800
Fax
(859) 525-1951
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1271DT KY Primary
Pediatric Optometrist 152WP0200X 1271DT KY

Addresses

Primary practice location

6901 Dixie Hwy
Florence, KY 41042-2007

Mailing address

6901 Dixie Hwy
Florence, KY 41042-2007
Phone (859) 525-1800

Other identifiers 2

IdentifierTypeStateIssuer
45775772MedicaidKY
77012714MedicaidKY

Other names 1

  • Julie A Metzger Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100630000403 KY Practitioner - Optometry 7315078748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

7370 Turfway Rd
Florence, KY 41042-4895
Phone (859) 212-5125

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1271DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Opticare Vision Centers, LLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients

Locations

6901 Dixie Hwy
Florence, KY 41042
Phone (859) 525-1800

2220 Grandview Dr
Ste 120
Ft Mitchell, KY 41017
Phone (859) 578-0393

Interoperability endpoints

  • Direct secure messaging: jmetzger342161@direct-prd.stelizabeth.com

Organizations & group practices 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1144280678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422007",
            "telephone_number": "859-525-1800",
            "fax_number": "859-525-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422007",
            "telephone_number": "859-525-1800",
            "fax_number": "859-525-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER AUBUCHON",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1271DT",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KY",
            "license": "1271DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45775772",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012714",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "METZGER",
            "middle_name": "A",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.