IndividualActive
Eric Ketchum, O.D.
NPI 1275820649 · Optometrist · Emory, TX
Provider details
- NPI number
- 1275820649
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 7878T (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
886 E Lennon Dr Ste 102
Emory, TX 75440-3216
Phone: (903) 474-9090
Fax: (903) 474-9111
Approximate (ZIP-level) locationGet directions
Mailing address
886 E Lennon Dr Ste 102
Emory, TX 75440-3216
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2011-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.