John M Ketcher LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2658 Issued in OK

Legal business name

JOHN M KETCHER LLC

Practice address

1108 E. Hwy 152
Mustang, OK 73064

Phone

(405) 376-2429

NPI assigned

Apr 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John M Ketcher, ODNPI 1740594159

Title

Ceo

Phone

(901) 338-4153

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Magnus Ketcher, O.D.

  • Optometrist
  • Tyler, TX
  • NPI 1740594159
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1386901502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 SW 13TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997345",
            "telephone_number": "901-338-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E. HWY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-376-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M KETCHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KETCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-338-4153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyshaan Jackson
• Jason T. Dobson, OD, PLLC
• Berlian Kasili Jeffery, DDS
• Bailey Jetton
• Joanna R. Owens Aprn-Crna, PLLC
• John R. Ainsworth D.D.S.
• Isabella Johns
• Sid L Johnson, DDS
• Stefani Gael Johnson, RN
• Abigail Johnston - English

• Optometrist in Mustang, OK
• Providers in Mustang, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.