Provider Demographics
NPI:1588648612
Name:METZGER, ANNE M (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M
Last Name:METZGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 GARDEN CTR 100
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-7090
Mailing Address - Country:US
Mailing Address - Phone:303-469-1941
Mailing Address - Fax:303-339-6251
Practice Address - Street 1:4 GARDEN CTR 100
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7090
Practice Address - Country:US
Practice Address - Phone:303-469-1941
Practice Address - Fax:303-339-6251
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1838152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61625221Medicaid
CO2209187OtherEVERCARE
CO2209187OtherEVERCARE
CO61625221Medicaid