Provider Demographics
NPI:1679639678
Name:METSCH, DAVID SETH (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SETH
Last Name:METSCH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:140 GRAY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6302
Mailing Address - Country:US
Mailing Address - Phone:978-794-8080
Mailing Address - Fax:978-685-6641
Practice Address - Street 1:542B TURNPIKE STREET
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-685-6641
Practice Address - Fax:978-685-6641
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3820152W00000X
NH0612152W00000X
GA1398152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB21105101OtherCIGNA
MA5516248OtherCCN
MA97779401OtherNEWORK HEALTH
MA0002046OtherNEIGHBORHOOD HEALTH PLAN
MA2018503OtherAETNA
MAMA3820OtherEYEMED
MA151979OtherHARVARD-PILGRIMHEALTHCARE
MA39501OtherDAVIS VISION
MA0369934Medicaid
MA2089794OtherFIRST HEALTH
MA22-00-483OtherUNITED HEALTH CARE
MA611450OtherTRIGON
MAW16051OtherBLUECROSSBLUESHIELD OF MA
MA763254OtherTUFTS HEALTH PLAN
MA39501OtherDAVIS VISION
MA763254OtherTUFTS HEALTH PLAN