Bert Ketchum, OD
NPI 1174107866 · Optometrist · Fpo
Enrolled with Medicare as Order and Referring Only - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bert Ketchum, OD is a Optometrist provider in Fpo (NPI 1174107866).
Provider details
- NPI number
- 1174107866
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 0618003037 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-08
- Last updated
- 2024-06-06
- Certified
- 2021-08-10
Frequently asked questions
- What is Bert Ketchum's NPI number?
- Bert Ketchum's National Provider Identifier (NPI) is 1174107866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bert Ketchum's specialty?
- Bert Ketchum is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Bert Ketchum located?
- Bert Ketchum's practice location on file with NPPES is Usnh/Usnmrtc Guantanamo Bay, Cuba, Fpo, 34009.
- What is Bert Ketchum's phone number?
- The practice phone number listed in the NPPES registry for Bert Ketchum is (757) 458-2998.
- Does Bert Ketchum accept Medicare?
- Bert Ketchum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bert Ketchum's NPI active?
- Yes — Bert Ketchum's NPI (1174107866) is active in the NPPES registry as of the last update on 2024-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.