William F. Metzger, PSC
Organization Active NPI Optometrist · Ft Wright, KY
NPI 1174657993 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1174657993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1221DT (KY)
- Legal business name
- WILLIAM F. METZGER, PSC
- Practice address
- 35 Augusta Ave
Ft Wright, KY 41011-3603 - Phone
- (859) 750-5642
- Fax
- (859) 331-1742
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. William Ferdinand Metzger, O.D.
- Title
- President
- Phone
- (859) 750-5642
Practitioners 15
-
Holly Renee Booth, O.D.
-
Joseph Ray Bowling, O.D.
-
Kristina Burton, O. D.
-
Christina Marie Kreinest, O.D.
-
David N Tucker, O.D.
-
Kaley Hardesty Chatham, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051020000189 | KY | Part B Supplier - Clinic/Group Practice | 7911923800 |
Receives reassigned benefits from 14 practitioners Practice locations: Louisville, KY |
National Provider Directory
Locations
4250 Glenn Ave
Covington, KY 41015
Phone (859) 371-5731
2303 Hurstbourne Village Dr
Ste 500
Louisville, KY 40299
Phone (859) 721-0554
7800 Jandaracres Dr
#Three
Cincinnati, OH 45248
Phone (513) 941-0787
Interoperability endpoints
- william.metzger.kentucky@direct.360care.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1221DT | KY | Yes |
Addresses
Primary practice location
35 Augusta Ave
Ft Wright, KY 41011-3603
Mailing address
35 Augusta Ave
Ft Wright, KY 41011-3603
Phone (859) 750-5642
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000285671 | Other | KY | ANTHEM |
| 410047349 | Other | RAILROAD MEDICARE | |
| 77903482 | Medicaid | KY | |
| 084737 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | william.metzger.kentucky@direct.360care.nextgenshare.com |
Other providers in Ft Wright, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.