Individual provider Active NPI

Tessa R. Metzing, O.D

  • Optometrist
  • Plainfield, IN
National Provider Identifier
1205090750
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003572AB Issued in IN
Practice address
1855 Stafford Rd
Plainfield, IN 46168-2338
Phone
(317) 839-2368
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003572AB IN Primary

Addresses

Primary practice location

1855 Stafford Rd
Plainfield, IN 46168-2338

Mailing address

900 Edwards Dr
Plainfield, IN 46168-5680
Phone (317) 839-2368

Other names 1

  • Tessa R Schlickbernd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090921000148 IN Practitioner - Optometry 4183770985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Indiana PCGroup PAC ID 5193754265, 12 clinicians

Practice addresses (Care Compare)

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003572ABINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Optometry PC Optometrist PastSince Oct 6, 2019 Accepting new patients
Surgery Center of Eye Specialists of Indiana, PC Past Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients
Armstrong Vision Services LTD Optometrist PastSince Jun 5, 2017 Accepting new patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tmetzing@esin.intellechartdirect.net

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1205090750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EDWARDS DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461685680",
            "telephone_number": "317-839-2368",
            "fax_number": "317-839-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 STAFFORD RD",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682338",
            "telephone_number": "317-839-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZING",
        "first_name": "TESSA",
        "middle_name": "R.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003572AB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "SCHLICKBERND",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.