Active NPI
Terry Metsovas, O.D.
- Optometrist
- Orange, CA
National Provider Identifier
1891874301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT. 10460 TPA
- Practice address
- 2097 N Tustin St
Orange, CA 92865-3901 - Phone
- (714) 637-9999
- Fax
- (714) 637-9993
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT. 10460 TPA | CA | Primary |
Addresses
Primary practice location
2097 N Tustin St
Orange, CA 92865-3901
Mailing address
PO Box 6512
Orange, CA 92863-6512
Phone (714) 637-9999
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302020001 | Other | CA | DMERC |
| 61327 | Other | CA | SAFEGUARD PPO |
| 9358503 | Other | CA | PHCS |
| 207199 | Other | CA | EYEMED VISION |
| 61328 | Other | CA | SAFEGUARD HMO |
| CA10460 | Other | CA | VISION BENEFITS AMERICA |
| SD01046T1 | Other | CA | BLUE SHIELD |
| 13607 | Other | CA | MEDICAL EYE SERVICE |
| 19173 | Other | CA | COAST TO COAST VISION |
| SD0104600 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT. 10460 TPA | CA | MD | Optometrist |
| 10460 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyemax Optometry Inc | Optometrist | Current | Accepting new patients |
Locations
2097 N Tustin St
Orange, CA 92865
Phone (714) 637-9999
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.
-
- Optometrist
- Orange, CA
- NPI 1285823138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891874301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6512",
"city": "ORANGE",
"state": "CA",
"postal_code": "928636512",
"telephone_number": "714-637-9999",
"fax_number": "714-637-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928653901",
"telephone_number": "714-637-9999",
"fax_number": "714-637-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METSOVAS",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT. 10460 TPA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5302020001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD PPO",
"identifier": "61327",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9358503",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION",
"identifier": "207199",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD HMO",
"identifier": "61328",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS AMERICA",
"identifier": "CA10460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "SD01046T1",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICE",
"identifier": "13607",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COAST TO COAST VISION",
"identifier": "19173",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0104600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
- Rebecca A Metoyer, PSYD
- Metropolitan Ipa (Prospect-Graybill Med Grp)
- Metropolitan Ipa (Los Angeles Medical Center IPA)
- Metropolitan Ipa (Cal Care IPA)
- Metropolitan Ipa (Prospect Daehan Medical Group-Los Angeles)
- Michael J Metten, DC
- Brianna Metzger
- William H Metzger, MD
- Lorraine Metzler-Szabo, M.D.
- Marisol Mexia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.