John C Metzger, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1105 Issued in KS

Practice address

10875 Grandview Drive
Suite 2260
Overland Park, KS 66210-1571

Phone

(913) 469-8686

Fax

(913) 469-8688

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO

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

Locations

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.

• Zona Rosa Eyecare Inc

  • Optometrist
  • Kansas City, MO
  • NPI 1063778108

  MO, Optometrist

  Medicare reassignment NPD
• 20-20 Inc

  • Eyewear Supplier
  • Independence, MO
  • NPI 1811277437

  MO

  Medicare reassignment
• Eye Specialists of Atchison, LLC

  • Ophthalmology Physician
  • Atchison, KS
  • NPI 1891979407
  NPD (past)
• Professional Eyecare - Fountains Inc

  • Optometrist
  • Overland Park, KS
  • NPI 1518019199
  NPD (past)
• Oculi Vision Rehabilitation, LLC

  • Optometrist
  • Lincoln, NE
  • NPI 1598816555
  NPD (past)
• Professional Eyecare Metro North Inc

  • Optometrist
  • Kansas City, MO
  • NPI 1568513836
  NPD (past)
• Professional Eyecare Zona Rosa Inc.

  • Optometrist
  • Kansas City, MO
  • NPI 1336291913
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1821066903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 GRANDVIEW DRIVE",
            "address_2": "SUITE 2260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101571",
            "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 DRIVE",
            "address_2": "SUITE 2260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101571",
            "telephone_number": "913-469-8686",
            "fax_number": "913-469-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "829",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1105",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KS",
            "license": "1105",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KS",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/TRIWEST",
            "identifier": "480942453",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "462239",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48094245300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "651144",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00074185",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro KC Anesthesiology Associates PA
• Metro Spine & Rehab, P.a.
• Metro Spine Paincenter, L.L.C.
• Hollie Metsker, RN, BSN, NP-C
• Metsun Overland Park KS Senior Living, LLC
• Beverly J. Meyer, CRNA
• Catherine Meyer
• Kalleigh Anne Meyer, PT, DPT
• Loren Marc Meyer, M.D.
• Natalie Helene Meyer

• All providers in Overland Park, KS
• Vision Therapy Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.