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RACHELLE MARIE KELTNER EDSTROM O.D.
NPI 1922080720
Optometrist in San Diego, CA

Active since November 17, 2005
13173 BLACK MOUNTAIN RD, SUITE 7, SAN DIEGO, CA 92129(858) 538-6695(858) 538-3182 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rachelle Marie Keltner Edstrom O.d. NPPES

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

RACHELLE MARIE KELTNER EDSTROM O.D. (NPI 1922080720) is an individual optometrist in San Diego, California, licensed in California (OPT 11900TPG) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1922080720
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRACHELLE MARIE KELTNER EDSTROMCredential: O.D.
Location Address13173 BLACK MOUNTAIN RD, SUITE 7San Diego, CA 92129-2687
Mailing Address13173 Black Mountain Rd, Suite 7San Diego, CA 92129-2687 · (858) 538-6695 · Fax (858) 538-3182
Phone(858) 538-6695
Fax(858) 538-3182
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateMarch 1, 2016
✔ NPI 1922080720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · OPT 11900TPG
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.
13173 BLACK MOUNTAIN RD, San Diego, CA 92129
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Other Names 1

Former Name (1)Rachelle Marie Keltner

Other Identifiers 2

Medicare UPINV04783
Medicare ID-Type UnspecifiedW0P11900ACA · Southern

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachelle Edstrom's NPI number?

The NPI number for Rachelle Edstrom is 1922080720. It was assigned to this individual provider in the NPPES registry on November 17, 2005. The provider is also known as Rachelle Marie Keltner.

Where is Rachelle Edstrom located?

Rachelle Edstrom practices at 13173 Black Mountain Rd Suite 7, San Diego, CA 92129. The listed phone number is (858) 538-6695.

What is Rachelle Edstrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Rachelle Edstrom was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.