Marshall B. Ketchum University
NPI 1720101876ActiveOrganization· Optometrist· Anaheim, CA
Optometrist in Anaheim, California, registered in NPPES in April 2007. The authorized official on file is Mark Nakano, O.D., Associate Dean Of Clinics. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720101876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2007 |
| Last updated in NPPES | Sep 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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