UNIVERSITY EYE CENTER
NPI 1720101876
Optometrist in Anaheim, CA

Q: What is Marshall B. Ketchum University's NPI number?

The NPI number for Marshall B. Ketchum University is 1720101876. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is also known as University Eye Center.

Q: What is Marshall B. Ketchum University's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 06, 2007

5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 463-7500(714) 992-7811 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About University Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY EYE CENTER (NPI 1720101876) is a healthcare organization registered as an optometrist in Anaheim, California and active in the NPI registry since April 2007. The organization lists Mark Nakano, Associate Dean Of Clinics, as its authorized official.

NPPES Registry Identity

NPI1720101876

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMARSHALL B. KETCHUM UNIVERSITY

Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023

Mailing Address5460 E La Palma AveAnaheim, CA 92807-2023 · (714) 463-7500 · Fax (714) 992-7811

Phone(714) 463-7500

Fax(714) 992-7811

Organization SubpartNo

Authorized OfficialMark NakanoAssociate Dean Of Clinics · (714) 463-7504

Enumeration DateApril 6, 2007

Last NPPES UpdateSeptember 20, 2016

✔ NPI 1720101876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

5460 E LA PALMA AVE, Anaheim, CA 92807

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Other Names 1

Other NameUniversity Eye Center

Other Identifiers 5

Medicare ID-Type UnspecifiedWY1110ACA

OtherCP8428CA · Railroad

Medicare UPINW16115CA

MedicaidZZT11708FCA

Medicare NSC0368540002CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

130

Medicare enrollment records show 130 clinicians reassign Medicare billing to University Eye Center, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Optometry116

Ophthalmology12

Family Practice2

Nearest to this location (20)

See all 130

Jillian Youngerman, OD

Optometry

NPI 1952957458