Provider Demographics
NPI:1174657993
Name:WILLIAM F. METZGER, PSC
Entity Type:Organization
Organization Name:WILLIAM F. METZGER, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FERDINAND
Authorized Official - Last Name:METZGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:859-750-5642
Mailing Address - Street 1:35 AUGUSTA AVE
Mailing Address - Street 2:
Mailing Address - City:FT WRIGHT
Mailing Address - State:KY
Mailing Address - Zip Code:41011-3603
Mailing Address - Country:US
Mailing Address - Phone:859-750-5642
Mailing Address - Fax:859-331-1742
Practice Address - Street 1:35 AUGUSTA AVE
Practice Address - Street 2:
Practice Address - City:FT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-3603
Practice Address - Country:US
Practice Address - Phone:859-750-5642
Practice Address - Fax:859-331-1742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1221DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000285671OtherANTHEM
410047349OtherRAILROAD MEDICARE
KY77903482Medicaid
OH084737Medicaid
KY77903482Medicaid
OHW19333321Medicare PIN