Marshall B. Ketchum University in Anaheim - Optometrist
Marshall B. Ketchum University - NPI 1720101876
Marshall B. Ketchum University is a Optometrist in Anaheim, California. Marshall B. Ketchum University practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Marshall B. Ketchum University is 1720101876. The last update date is 2016-09-20.
Marshall B. Ketchum University's current location address is 5460 E La Palma Ave, Anaheim, California. You can contact this provider via phone number 7144637500 and fax number 7149927811. The mailing address for Marshall B. Ketchum University is 5460 E La Palma Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marshall B. Ketchum University |
|---|---|
| Address | 5460 E La Palma Ave, Anaheim, California |
| Phone Number | 7144637500 |
| Fax Number | 7149927811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Nakano Mark |
| Credentials | O.D. |
| Telephone Number | 7144637504 |
NPI Number Detail
| NPI Number | 1720101876 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2016-09-20 |
Provider Mailing Address Detail
| Address | 5460 E La Palma Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928072023 |
| Phone Number | 7144637500 |
| Fax Number | 7149927811 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CP8428 | CA | RAILROAD | |
| ZZT11708F | CA | -- |
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What is the unique identifier code issued to Marshall B. Ketchum University by the Centers for Medicare & Medicaid Services (CMS)?
The Marshall B. Ketchum University has been assigned the NPI (National Provider Identifier) 1720101876. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Marshall B. Ketchum University located?
The Marshall B. Ketchum University is located at 5460 E La Palma Ave, Anaheim, CA 928072023.
What is the Marshall B. Ketchum University's area of specialization and corresponding taxonomy classification?
The Marshall B. Ketchum University's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
When was the Marshall B. Ketchum University's 1720101876 issued?
The Marshall B. Ketchum University's 1720101876 was issued on 2007-04-06.
As of what date were the details pertaining to Marshall B. Ketchum University last refreshed?
The information related to the Marshall B. Ketchum University, including its address, specialty, and other relevant details, was last updated on 2016-09-20.
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