JOHN M KETCHER LLC (NPI# 1386901502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386901502 |
| Entity Type | Organization |
| Organization Name | JOHN M KETCHER LLC |
| Practice Address |
1108 E. Hwy 152 Mustang OK 73064 |
| Mailing Address |
12040 Sw 13th St Yukon OK 73099-7345 |
| Practice Telephone | 4053762429 |
| Mailing Telephone | 9013384153 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | DR. JOHN M KETCHER (CEO) |
| Authorized Official Telephone | 9013384153 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2658 | OK | Eye and Vision Services Providers |
| Street Address |
1108 E. HWY 152 |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| 1780996538 | Brandi M Schmit | Specialist | 2026 E Hwy 152, 103, Mustang, OK 73064 | 2010-07-09 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831507532 | Jason Tyler Dobson | Optometrist | 1108 E State Highway 152, Mustang, OK 73064-5116 | 2014-07-25 |
| 1386860443 | Phillip D Grimes P C | Optometrist | 1108 E. Highway 152, Mustang, OK 73064-5116 | 2007-04-17 |
| 1023199379 | Warren Eye Care Center LLC | Optometrist | 100 S Castlerock Ln, Mustang, OK 73064-4586 | 2006-10-17 |
| 1194377168 | Partin Eyecare PC | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2019-07-10 |
| 1164821468 | Jason T. Dobson, Od, Pllc | Optometrist | 1108 E State Highway 152, Mustang, OK 73064-5116 | 2014-08-22 |
| 1053598391 | Glenn E. Partin Od PC | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2008-01-29 |
| 1669552998 | Marcia Ladawn Warren | Optometrist | 100 S Castlerock Ln, Mustang, OK 73064-4586 | 2006-10-17 |
| 1245210020 | Rebecca Lynn Poage | Optometrist | 500 N Financial Ter, Suite A, Mustang, OK 73064-4432 | 2006-01-18 |
| 1124015151 | Glenn Elwyn Partin | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7200 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
| 1609475540 | Mel Vision LLC | Optometrist | 6310 N May Ave, Oklahoma City, OK 73112-4298 | 2020-10-21 |
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1770190779 | Nate Richard Castillo | Optometrist | 2625 Cambridge Cir, Tahlequah, OK 74464-4690 | 2020-09-24 |
| 1427663731 | Kathryn Elizabeth Kubiak | Optometrist | 1811 W Grant Ave, Pauls Valley, OK 73075-9202 | 2020-09-14 |
| 1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1588273080 | Nattali Nicole Masson | Optometrist | 1400 E Wade Watts Ave, Mcalester, OK 74501-5652 | 2020-07-30 |
| 1225647415 | Legacy Eye Care Pllc | Optometrist | 1207 Cornwell Dr, Yukon, OK 73099-4633 | 2020-07-24 |
| 1285252213 | Mid-del Vision Source Pllc | Optometrist | 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.