Active NPI
Dr. John Metzger
- Low Vision Rehabilitation Optometrist
- Overland Park, KS
National Provider Identifier
1588605331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 1105-2
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | SOCIAL SECURITY NUMBER |
Other names 1
- Kansas City Vision Performance Center
National Provider Directory
National Provider Directory- Tax ID family
- Dr John Metzger
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Low Vision Rehabilitation Optometrist
- Overland Park, KS
- NPI 1326344599
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"
}
]
}
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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.