Eric Lee Ketchum (NPI# 1275820649, PAC ID# 4486824505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275820649 |
| PAC ID by PECOS | 4486824505 |
| Professional Enrollment ID | I20110829000545 |
| Full Name | Eric Lee Ketchum |
| Address |
886 E Lennon Dr Suite 102 Emory TX 75440-3216 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 886 E Lennon Dr, Suite 102, Emory, TX 75440-3216 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
| Street Address |
886 E LENNON DR SUITE 102 |
| City | EMORY |
| State | TX |
| Zip | 75440-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul B Bacon | Physical Therapy | 903 E Lennon St, Suite 101, Emory, TX 75440-0753 | |
| Alisha Neal | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 983 N Texas St, Emory, TX 75440-2450 |
| Steven J Cohen | Rheumatology | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| Gregory Vincent Barrett | Physician Assistant | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| Loren Ost | Urology | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| Jordan Potts | Nurse Practitioner | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| Holly K Duplechain | Internal Medicine | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| James E Gulde | Internal Medicine | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| Ichabod L Balkcom Iv | Family Medicine | Trinity Clinic | 650 E Lennon Dr, Christus Trinity Clinic, Emory, TX 75440-3227 |
| Michael David Duchamp | Orthopedic Surgery | Hopkins County Physician Services | 650 E Lennon Dr, Emory, TX 75440-3227 |
| Find all physicians in zip 75440 | |||
| City | EMORY |
| Zip Code | 75440 |
| Specialty | OPTOMETRY |
| City + Specialty | EMORY + OPTOMETRY |
Please comment or provide details below to improve the information on Eric Lee Ketchum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.