DR. BERT EDMOND KETCHUM III OD
NPI 1174107866
Optometrist in Fpo, AA
NPI Status: Active since May 08, 2021
Contact Information
USNH/USNMRTC GUANTANAMO BAY, CUBA
PSC 1005 BOX 110185
FPO, AA
ZIP 34009
Phone: (757) 458-2998
- Individual
- Male
- Optometrist
- PECOS Enrolled
About BERT KETCHUM
This page provides the complete NPI Profile along with additional information for Bert Ketchum, a provider established in Fpo, with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1174107866 assigned on May 2021. The practitioner's primary taxonomy code is 152W00000X with license number 0618003037 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1174107866
- Provider Name
- DR. BERT EDMOND KETCHUM III OD
- Other Name
- TREY KETCHUM
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- USNH/USNMRTC GUANTANAMO BAY, CUBA PSC 1005 BOX 110185 FPO, AA 34009
- Location Phone
- (757) 458-2998
- Mailing Address
- USNH/USNMRTC GUANTANAMO BAY, CUBA PSC 1005 BOX 110185 FPO, AA 34009
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-08-2021
- Last Update Date
- 06-06-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 0618003037
- License State
- VA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Bert Ketchum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174107866, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FPO, VA 34009
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174107866, enumerated as an "individual" on May 08, 2021.
The provider is located at USNH/USNMRTC GUANTANAMO BAY, CUBA PSC 1005 BOX 110185 FPO, AA 34009 and the phone number is (757) 458-2998.
Optometrist with taxonomy code 152W00000X.
