DR. GREG ALAN KETCHER (NPI# 1710982160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710982160 |
| Entity Type | Individual |
| Full Name | DR. GREG ALAN KETCHER |
| Credential | O.D. |
| Practice Address |
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002 |
| Mailing Address |
1214 Nw Norwick Pl Lawton OK 73505-4035 |
| Practice Telephone | 5803545000 |
| Practice Fax Number | 5803545473 |
| Mailing Telephone | 5807044734 |
| Mailing Fax Number | 7073711561 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3955TG | TX | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1178 | OK | Eye and Vision Services Providers |
| Street Address |
1515 NE LAWRIE TATUM RD |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332765 | Dean Thompson | Case Manager/Care Coordinator | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-10-07 |
| 1447863832 | Susan Browning | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-08-26 |
| 1144831983 | Christopher Anthony | Radiologic Technologist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-08-14 |
| 1851914782 | Emily Jean Mcintosh | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-27 |
| 1215559828 | Miaka Huynh | Pharmacist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-18 |
| 1568084671 | Janet Laura Tippeconnic | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1598387698 | Edward Jerome Tahhahwah IIi | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1861014961 | Amber Karty | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1689293227 | Stephanie Young | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-04-14 |
| 1114566734 | Martha Vivian Cendejas | Dental Hygienist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821344912 | Michael Curtis | Optometrist | 5370 Nw Cache Rd Ste 6, Lawton, OK 73505-3371 | 2012-07-26 |
| 1376727230 | Gene Ray | Optometrist | 1224 Nw Sheridan Rd, Lawton, OK 73505 | 2007-12-27 |
| 1992910236 | Sei Optical, Inc. | Optometrist | 602 Nw Sheridan Rd, Lawton, OK 73505-6312 | 2007-05-11 |
| 1356470975 | Robert Dale Head | Optometrist | 1302 Sw C Ave, Lawton, OK 73501-4243 | 2007-03-02 |
| 1730223207 | Timothy E Snider | Optometrist | 1224 Nw Sheridan, Lawton, OK 73505-5210 | 2007-02-17 |
| 1174631691 | James Alan Edwards | Optometrist | 409 Sw C Ave, Lawton, OK 73501-4022 | 2006-08-25 |
| 1780692897 | John E Barnes | Optometrist | 1415 W Gore Blvd, Lawton, OK 73501-3606 | 2006-08-04 |
| 1558379669 | J Dean Nolan | Optometrist | 3414 Nw Cache Rd Ste E, Lawton, OK 73505-3877 | 2006-08-04 |
| 1376587154 | Chris Paul Swanson | Optometrist | 4250 Nw Cache Rd, Lawton, OK 73505-3606 | 2006-06-15 |
| 1730179169 | Howard K Ross | Optometrist | 4250 Nw Cache Rd., Lawton, OK 73505 | 2005-10-26 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on DR. GREG ALAN KETCHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.