Individual provider Active NPI

David Seth Metsch, O.D.

Optometrist
North Andover, MA

National Provider Identifier

1679639678

Registry record updated Jun 28, 2010

On this page

Key facts
NPPES NPI Registry
Medicare participation
Care Compare profile
National Provider Directory
Organizations & group practices2
NPI Registry JSON
Other providers in North Andover, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: OptometristTaxonomy code 152W00000X
License: 3820 Issued in MA
Practice address: 542B Turnpike Street
North Andover, MA 01845
Phone: (978) 685-6641
Fax: (978) 685-6641
NPI assigned: Dec 28, 2006
Sex: Male
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 3

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	3820	MA	Primary
Optometrist	152W00000X	0612	NH
Optometrist	152W00000X	1398	GA

Addresses

Primary practice location

542B Turnpike Street
North Andover, MA 01845

Mailing address

140 Gray St
North Andover, MA 01845-6302
Phone (978) 794-8080

Other identifiers 14

Identifier	Type	State	Issuer
B21105101	Other	MA	CIGNA
5516248	Other	MA	CCN
97779401	Other	MA	NEWORK HEALTH
0002046	Other	MA	NEIGHBORHOOD HEALTH PLAN
2018503	Other	MA	AETNA
MA3820	Other	MA	EYEMED
151979	Other	MA	HARVARD-PILGRIMHEALTHCARE
39501	Other	MA	DAVIS VISION
0369934	Medicaid	MA
2089794	Other	MA	FIRST HEALTH
22-00-483	Other	MA	UNITED HEALTH CARE
611450	Other	MA	TRIGON
W16051	Other	MA	BLUECROSSBLUESHIELD OF MA
763254	Other	MA	TUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in MA

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 ID	State	Provider type	PAC ID	Details
I20100818000799	MA	Practitioner - Optometry	2062546674	Practice locations: North Andover, MA

Care Compare profile

Medicare Care Compare

Specialty: Optometry
Education: Indiana University - School of Optometry, 1993
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

542 B Turnpike St
North Andover, MA 01845-5812

542 Turnpike St
North Andover, MA 01845-5812
Phone (978) 685-6641

Procedures performed for Medicare patients

Procedure	Number of procedures
Cataract surgery	1-10

National Provider Directory

Medicare enrollment (NPD): Enrolled

State licenses

License	State	Type	Specialty
3820	MA	MD	Psychologist
1398	GA	MD	Optometrist

Practice roles

Organization	Specialty	Status	New patients
Dr. David S. Metsch and Associates	Optometrist	Past	Accepting new patients
Essex Optical Corporation		Past	Accepting new patients

Organizations & group practices 2

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.

Dr. David S. Metsch and Associates
- Optometrist
- North Andover, MA
- NPI 1114430170
NPD (past) Authorized official
Essex Optical Corporation
- Eyewear Supplier
- North Andover, MA
- NPI 1699866384
NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1679639678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRAY ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456302",
            "telephone_number": "978-794-8080",
            "fax_number": "978-685-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542B TURNPIKE STREET",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-685-6641",
            "fax_number": "978-685-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METSCH",
        "first_name": "DAVID",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3820",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0612",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B21105101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5516248",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEWORK HEALTH",
            "identifier": "97779401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0002046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2018503",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA3820",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD-PILGRIMHEALTHCARE",
            "identifier": "151979",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "39501",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369934",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2089794",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "22-00-483",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "611450",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF MA",
            "identifier": "W16051",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "763254",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.