Active NPI
Derek Lawrence Metz, OD
- Optometrist
- Piqua, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6564
- Practice address
- 400 N Main St
Piqua, OH 45356-2318 - Phone
- (937) 773-8023
- Fax
- (937) 773-8762
- NPI assigned
- May 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6564 | OH | Primary |
Addresses
Primary practice location
400 N Main St
Piqua, OH 45356-2318
Mailing address
400 N Main St
Piqua, OH 45356-2318
Phone (937) 773-8023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Broadway Ave
Suite C
Bedford, OH 44146-2642
Phone (440) 439-2700
45 Asylum St
Hartford, CT 06103-2208
Phone (860) 256-8766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6564 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Optometric Care PC | Optometrist | Current | Accepting new patients |
| Your Eyes of New Britain | Past | Accepting new patients |
Locations
110 Albany Tpke
Canton, CT 06019
Phone (860) 256-8766
325 Burnham St
East Hartford, CT 06108
14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766
45 Asylum St
Hartford, CT 06103
Phone (860) 256-8766
347 N Main St
West Hartford, CT 06117
Phone (860) 256-8766
Organizations & group practices 3
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.
-
- Optometrist
- Hartford, CT
- NPI 1346705027
-
- Ophthalmology Physician
- Cleveland, OH
- NPI 1386752558
-
- Optician
- New Britain, CT
- NPI 1467614347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1407384134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "PIQUA",
"state": "OH",
"postal_code": "453562318",
"telephone_number": "937-773-8023",
"fax_number": "937-773-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "PIQUA",
"state": "OH",
"postal_code": "453562318",
"telephone_number": "937-773-8023",
"fax_number": "937-773-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZ",
"first_name": "DEREK",
"middle_name": "LAWRENCE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piqua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.