Individual provider Active NPI

Derek Lawrence Metz, OD

  • Optometrist
  • Piqua, OH
National Provider Identifier
1407384134
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6564 Issued in OH
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

Updated by the provider on May 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181128003592 OH Practitioner - Optometry 2668716887 Reassigns benefits to 1 organization
Practice locations: Piqua, OH
I20190702002965 CT Practitioner - Optometry 2668716887 Reassigns benefits to 1 organization

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
Northern Ohio Eye Consultants, IncGroup PAC ID 3577537810, 40 clinicians
Apex Optometric Care PCGroup PAC ID 3678800109, 11 clinicians

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

LicenseStateTypeSpecialty
6564OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Optometric Care PC Optometrist CurrentSince May 15, 2020 Accepting new patients
Your Eyes of New Britain PastSince Jul 8, 2019 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.

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

Verify at the official NPI Registry.