Organization Active NPI

Julie Metzger OD PSC

  • Optometrist
  • Florence, KY
National Provider Identifier
1548301492
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1271DT Issued in KY
Legal business name
JULIE METZGER OD PSC
Practice address
6901 Dixie Hwy
Florence, KY 41042-2007
Phone
(859) 525-1800
Fax
(859) 525-1951
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Julie A Metzger, OD
Title
Optometrist
Phone
(859) 525-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1271DT KY Primary

Addresses

Primary practice location

6901 Dixie Hwy
Florence, KY 41042-2007

Mailing address

6901 Dixie Hwy
Florence, KY 41042-2007
Phone (859) 525-1800

Other identifiers 1

IdentifierTypeStateIssuer
77900140MedicaidKY

National Provider Directory

National Provider Directory

Locations

6901 Dixie Hwy
Florence, KY 41042
Phone (859) 525-1800

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1548301492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422007",
            "telephone_number": "859-525-1800",
            "fax_number": "859-525-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422007",
            "telephone_number": "859-525-1800",
            "fax_number": "859-525-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE METZGER OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "859-525-1800",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1271DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77900140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.