Eric Lee Ketchum, OD is a medicare enrolled "Optometrist" provider in Emory, Texas. His current practice location is
886 E Lennon Dr Ste 102, Emory, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 474-9090.
Eric Lee Ketchum is licensed to practice in Texas (license number 7878T) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275820649.
Healthcare Provider's Profile
Full Name | Eric Lee Ketchum |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 886 E Lennon Dr Ste 102, Emory, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Eric Lee Ketchum attended and graduated from in
NPI Data:
- NPI Number: 1275820649
- Provider Enumeration Date: 07/06/2011
- Last Update Date: 07/06/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Eric Lee Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275820649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 7878T (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eric Lee Ketchum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eric Lee Ketchum, OD 886 E Lennon Dr Ste 102, Emory, TX 75440-3216 Ph: (903) 474-9090 | Eric Lee Ketchum, OD 886 E Lennon Dr Ste 102, Emory, TX 75440-3216 Ph: (903) 474-9090 |
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