Organization Active NPI

Dr. John Metzger

  • Low Vision Rehabilitation Optometrist
  • Overland Park, KS
National Provider Identifier
1588605331
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
1105-2 Issued in KS
Legal business name
DR. JOHN METZGER
Practice address
10875 Grandview St
Suite 2260
Overland Park, KS 66210-1561
Phone
(913) 469-8686
Fax
(913) 469-8688
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. John C Metzger, O.D.
Title
Doctor of Optometry
Phone
(913) 469-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X 1105-2 KS Primary

Addresses

Primary practice location

10875 Grandview St
Suite 2260
Overland Park, KS 66210-1561

Mailing address

10875 Grandview St
Suite 2260
Overland Park, KS 66210-1561
Phone (913) 469-8686

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherSOCIAL SECURITY NUMBER

Other names 1

  • Kansas City Vision Performance Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr John Metzger2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1588605331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 GRANDVIEW ST",
            "address_2": "SUITE 2260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101561",
            "telephone_number": "913-469-8686",
            "fax_number": "913-469-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 GRANDVIEW ST",
            "address_2": "SUITE 2260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101561",
            "telephone_number": "913-469-8686",
            "fax_number": "913-469-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN METZGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "913-469-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KS",
            "license": "1105-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas City Vision Performance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.