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MARSHALL B. KETCHUM UNIVERSITY NPI 1720101876


NPI Information

NPI: 1720101876
Provider Name: MARSHALL B. KETCHUM UNIVERSITY

Other Name: UNIVERSITY EYE CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
5460 E LA PALMA AVE
ANAHEIM, CA
ZIP 92807
Phone: (714) 463-7500
Get Directions

MARSHALL B. KETCHUM UNIVERSITY is an optometrist in Anaheim, CA. The provider is 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. MARSHALL B. KETCHUM UNIVERSITY NPI is 1720101876. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is University Eye Center.

The provider's business location address is:

5460 E LA PALMA AVE
ANAHEIM, CA
ZIP 92807-023
Phone: (714) 463-7500
Fax: (714) 992-7811

The provider's authorized official is Mark Nakano .
The authorized official title is Associate Dean Of Clinics and has the following contact phone number (714) 463-7504.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 9/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WY1110AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2CP8428OTHERCALIFORNIARAILROAD
3W16115MEDICARE UPINCALIFORNIA
4ZZT11708FMEDICAIDCALIFORNIA
50368540002MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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