Charles Fredrick Metzler Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

003769 Issued in NY

Practice address

25737 US Route 11
Evans Mills, NY 13637-3221

Phone

(315) 629-4316

Fax

(315) 629-4319

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pak Optical of Watertown Inc

  dba J Opticians

  • Optician
  • Ogdensburg, NY
  • NPI 1255404315
  NPD (past)
• Pak Optical of Watertown Inc

  dba J Opticians

  • Optician
  • Watertown, NY
  • NPI 1619040771

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1689737843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25737 US ROUTE 11",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373221",
            "telephone_number": "315-629-4316",
            "fax_number": "315-629-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25737 US ROUTE 11",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373221",
            "telephone_number": "315-629-4316",
            "fax_number": "315-629-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZLER",
        "first_name": "CHARLES",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00437352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Love
• Jenny Sue Martinez
• Christine Massey, CASAC
• Greg Matukas
• Thomas B McAulliffe, DC
• Lloyd Mitchell
• Dianne Yvonne Norstrom, LPN
• North Country Family Health Center, Inc.
• Melissa S Parish, M.S., BCBA
• Marianne Pastorella, CTRS, OTR

• Optometrist in Evans Mills, NY
• Providers in Evans Mills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.