Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC LEE KETCHUM, O.D.
ActiveERIC LEE KETCHUM, O.D. is a Optometrist healthcare provider located in EMORY, Texas. NPI 1275820649 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EMORY, TX
Registration Details
- NPI Number
- 1275820649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2011 (15.100866811047 yrs)
- Last Updated
- Jul 6, 2011
- License
-
7878T (TX)
Practice Information
- Address
-
886 E LENNON DR STE 102EMORY, TX, 754403216Browse TX providers · Browse ZIP 75440
- Phone
- 9034749090
- Fax
- 9034749111
- Primary Specialty
-
Optometrist
152W00000X
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.