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Dr. Tonya Ketcham, O.D.

Optometrist in Houston, TX. Individual provider (NPI-1).

NPI number1902809338
StatusActive
Last updated in NPPESMay 12, 2022

Details

NPI
1902809338
Entity type
Individual (NPI-1)
Name
Dr. Tonya Ketcham
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2005
Certification date
May 12, 2022
Last updated
May 12, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist6659TXYes
152W00000X Optometrist6659TTX

Practice location

4401 Martin Luther King Blvd.
Houston, TX 77204-2020

Phone 713-743-2020 · Fax 713-743-0963

Mailing address

4401 Martin Luther King Blvd
Houston, TX 77204-2020

Phone 713-743-2020 · Fax 713-743-0963

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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