Metzger, John C
Metzger, John C is an sole proprietor health care provider with primary practice located at 10875 Grandview Drive Suite 2260, Overland Park KS 66210-1571. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Metzger, John C can be contacted via phone (913) 469-8686.Contact Information
Primary practice address
10875 Grandview Drive Suite 2260
Overland Park KS 66210-1571
Phone: (913) 469-8686
Fax: (913) 469-8688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 829 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1105 | Kansas |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1105 | Kansas |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1105 | Kansas |
Profile Details
| NPI number | 1821066903 |
|---|---|
| LBN Legal business name | Metzger, John C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Feb 23rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821066903 | NPPES |
| Kansas | Other | 480942453 | TRICARE/TRIWEST |
| Kansas | Other | 462239 | TRICARE/TRIWEST |
| Kansas | MEDICAID | 48094245300 | TRICARE/TRIWEST |
| Kansas | Other | 651144 | TRICARE/TRIWEST |
| Kansas | Other | P00074185 | TRICARE/TRIWEST |
| Kansas | MEDICAID | 100090510A | TRICARE/TRIWEST |
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