Individual provider Active NPI

Anne M. Metzger, O.D.

  • Corneal and Contact Management Optometrist
  • Broomfield, CO
National Provider Identifier
1588648612
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1838 Issued in CO
Practice address
4 Garden Ctr 100
Broomfield, CO 80020-7090
Phone
(303) 469-1941
Fax
(303) 339-6251
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1838 CO Primary

Addresses

Primary practice location

4 Garden Ctr 100
Broomfield, CO 80020-7090

Mailing address

4 Garden Ctr 100
Broomfield, CO 80020-7090
Phone (303) 469-1941

Other identifiers 2

IdentifierTypeStateIssuer
61625221MedicaidCO
2209187OtherCOEVERCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000751 CO Practitioner - Optometry 2466556634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Eye Care, PLLCGroup PAC ID 9032440169, 3 clinicians

Practice addresses (Care Compare)

16860 Sheridan Pkwy
Unit 106
Broomfield, CO 80023-8989
Phone (720) 598-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1838COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care, PLLC CurrentSince Apr 26, 2018 Accepting new patients

Locations

16860 Sheridan Pkwy
Unit 106
Broomfield, CO 80023
Phone (720) 598-2020

Interoperability endpoints

  • Direct secure messaging: anne.metzger.p5@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1588648612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207090",
            "telephone_number": "303-469-1941",
            "fax_number": "303-339-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207090",
            "telephone_number": "303-469-1941",
            "fax_number": "303-339-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "ANNE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61625221",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2209187",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.