THERESA M NEMETH OD
NPI 1093899759
Optometrist in Toledo, OH
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
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Nemeth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43614
- Reassigned Medicare billing, Ohio enrollment
- 7 clinicians in this Medicare group
Toledo, OH 43614
- Reassigned Medicare billing, Ohio enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Theresa Nemeth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Nemeth reassigns Medicare benefits to 2 organizations: John T Archer & Associates Inc (Toledo, OH) and Theresa M Nemeth Od Inc (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Nemeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Nemeth accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 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.
# Theresa M Nemeth, OD · NPI 1093899759
Optometrist provider in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1093899759 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3816 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3539 GLENDALE AVE, Toledo, OH 43614
- **Phone:** (419) 385-7575 · **Fax:** (419) 385-4531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): John T Archer & Associates Inc (NPI 1801729488, Toledo, OH); Theresa M Nemeth Od Inc (NPI 1437225117, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 1985
## Record status
- **NPPES last updated:** January 29, 2008
- **Other identifiers:** Medicare NSC 0189340001; Medicare UPIN T48641; Medicare ID-Type Unspecified TH9266361; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093899759) · Data from the CMS NPPES public registry.