Individual
DR. JOHN C METZGER
Active
Individual
DR. JOHN C METZGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1105
KS
152W00000X
Optometrist
829
NE
152WL0500X
Low Vision Rehabilitation Optometrist
1105
KS
152WV0400X
Vision Therapy Optometrist
Primary
1105
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090510A
—
KS
01
—
462239
FAMILY HEALTH PARTNERS
KS
01
—
480942453
TRICARE/TRIWEST
KS
05
—
48094245300
—
NE
01
—
651144
BLUE CROSS BLUE SHIELD
KS
01
—
P00074185
PALMETTO GBA
KS
Enumeration date
03/14/2006
Last updated
02/23/2015
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