Provider Demographics
NPI:1205435591
Name:METZGER OPTOMETRY GROUP, LLC
Entity type:Organization
Organization Name:METZGER OPTOMETRY GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE 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 1:7517 ALEXANDRIA PIKE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-1041
Mailing Address - Country:US
Mailing Address - Phone:859-635-7600
Mailing Address - Fax:
Practice Address - Street 1:7517 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:KY
Practice Address - Zip Code:41001-1041
Practice Address - Country:US
Practice Address - Phone:859-635-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty