Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bert Edmond Ketchum III, OD

Individual provider Optometrist · NPI 1174107866

Dr. Bert Edmond Ketchum III, OD is an Optometrist in FPO, Armed Forces Americas. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Usnh/usnmrtc Guantanamo Bay Cuba Psc 1005 Box 110185
FPO, AA 34009
Phone: (757) 458-2998

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Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618003037 (VA)

Record details

NPI number1174107866
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 8, 2021
Last updated in NPPESJune 6, 2024
Certification dateAugust 10, 2021

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