NPIMap

Organization Active NPI

William F. Metzger, PSC

  • Optometrist
  • Ft Wright, KY
National Provider Identifier
1174657993
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1221DT Issued in 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
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Dr. William Ferdinand Metzger, O.D.NPI 1730255605
Title
President
Phone
(859) 750-5642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1221DT KY Primary

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 4

IdentifierTypeStateIssuer
77903482MedicaidKY
410047349OtherRAILROAD MEDICARE
084737MedicaidOH
000000285671OtherKYANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.metzger.kentucky@direct.360care.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000189 KY Part B Supplier - Clinic/Group Practice 7911923800 Receives reassigned benefits from 14 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1608 Versailles Rd
Lexington, KY 40504
Phone (859) 252-0871

2303 Hurstbourne Village Dr
Ste 500
Louisville, KY 40299
Phone (859) 721-0554

Interoperability endpoints

  • Direct secure messaging: william.metzger.kentucky@direct.360care.nextgenshare.com

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1174657993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 AUGUSTA AVE",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410113603",
            "telephone_number": "859-750-5642",
            "fax_number": "859-331-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 AUGUSTA AVE",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410113603",
            "telephone_number": "859-750-5642",
            "fax_number": "859-331-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F. METZGER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FERDINAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-750-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1221DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903482",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084737",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000285671",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.metzger.kentucky@direct.360care.nextgenshare.com",
            "affiliation": "N",
            "address_1": "35 Augusta Ave",
            "city": "Ft Wright",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410113603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.