Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BERT EDMOND KETCHUM III, OD
ActiveOptometrist · FPO, AA
Registration Details
- NPI Number
- 1174107866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2021 (5.0186120213712 yrs)
- Last Updated
- Jun 6, 2024
- License
-
0618003037 (VA)
Practice Information
- Address
-
USNH/USNMRTC GUANTANAMO BAY, CUBAPSC 1005 BOX 110185FPO, AA, 34009Browse AA providers · Browse ZIP 34009
- Phone
- 7574582998
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FPO, AA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL J NELSON | OD | 1124504006 |
| LINSEY D BROWN | OD | 1295510642 |
| IAN OSTLER | — | 1710874375 |
| DR. STEVE JACOB VAN GROUW | OD | 1508730292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.