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THERESA M NEMETH OD
NPI 1093899759
Optometrist in Toledo, OH

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
3539 GLENDALE AVE, TOLEDO, OH 43614(419) 385-7575(419) 385-4531 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa M Nemeth Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA M NEMETH OD (NPI 1093899759) is an individual optometrist in Toledo, Ohio, licensed in Ohio (3816) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1985).

NPPES Registry Identity

NPI1093899759
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTHERESA M NEMETHCredential: OD
Location Address3539 GLENDALE AVEToledo, OH 43614
Mailing Address3539 Glendale AveToledo, OH 43614 · (419) 385-7575 · Fax (419) 385-4531
Phone(419) 385-7575
Fax(419) 385-4531
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1985
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1093899759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 3816
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3539 GLENDALE AVE, Toledo, OH 43614
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Other Identifiers 5

Medicare NSC0189340001
Medicare UPINT48641
Medicare ID-Type UnspecifiedTH9266361Group
Medicaid0680231OH
Medicare PINNE0604421

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa M Nemeth Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810028552
PECOS Enrollment IDI20100624000737
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,051 services13 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
258 services246 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
230 services230 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services22 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA M NEMETH OD INC
Optometrist
3539 GLENDALE AVE
TOLEDO, OH 43614
Lucas County (419) 385-7575
JOHN T ARCHER & ASSOCIATES INC
Optometrist
3539 GLENDALE AVE
TOLEDO, OH 43614
Lucas County (419) 385-7575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Nemeth's NPI number?

The NPI number for Theresa Nemeth is 1093899759. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Theresa Nemeth located?

Theresa Nemeth practices at 3539 Glendale Ave, Toledo, OH 43614. The listed phone number is (419) 385-7575.

What is Theresa Nemeth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Theresa Nemeth enrolled in Medicare?

Yes. Theresa Nemeth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Nemeth accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 3 other insurers list Theresa Nemeth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Nemeth was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.