John Magnus Ketcher, O.D.

Optometrist · Tyler, TX

Individual Active NPI

NPI number 1740594159

Practice location

1424 E Front St
Tyler, TX 75702
Phone
(903) 595-4144

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NPI record

NPI
1740594159
Entity type
Individual (Type 1)
Enumeration date
July 28, 2010
Last updated
May 17, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 9394 TX
Optometrist 152W00000X 2022 AZ
Optometrist 152W00000X 0618002629 VA

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone
(903) 324-6400

Other practice locations (1)

  • 1424 E Front St, Tyler, TX 75702 · (903) 595-4144

About Dr. Ketcher

John Magnus Ketcher, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1424 E Front St, Tyler, TX 75702. The NPI number 1740594159 was assigned on July 28, 2010 and the record was last updated on May 17, 2019.

Dr. Ketcher lists 3 licenses in the registry: #9394 (TX) for Optometrist; #2022 (AZ) for Optometrist; #0618002629 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Magnus Ketcher, O.D.?

The NPI number is 1740594159.

What is the phone number of Dr. Ketcher?

The phone number listed for the practice location is (903) 595-4144.

Where is Dr. Ketcher located?

1424 E Front St, Tyler, TX 75702.

What is the taxonomy code for Dr. Ketcher?

The primary taxonomy code is 152W00000X – Optometrist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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