Individual
TODD L METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
541
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142963
UCARE #
ND
01
—
15682
NDBS #
ND
05
—
162224200
—
ND
01
—
2201200
MEDICA #
ND
01
—
2201201
MEDICA #
ND
01
—
2201509
MEDICA #
ND
01
—
52Q77ME
MNBS #
ND
01
—
59D22ME
MNBS #
ND
05
—
60483
—
ND
01
—
880541
ND VISION #
ND
01
—
890541
ND VISION #
ND
01
—
905897
AMERICA'S PPO/ARAZ #
ND
01
—
DA9011026982
PREFERRED ONE #
ND
01
—
HP25716
HEALTHPARTNERS #
ND
01
—
ND200104
LHS #
ND
Enumeration date
07/13/2006
Last updated
03/07/2023
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