Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rachelle Marie Keltner Edstrom, OD

Individual provider Optometrist · NPI 1922080720

Rachelle Marie Keltner Edstrom, OD is an Optometrist in San Diego, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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 checks out

13173 Black Mountain Rd Ste 7
San Diego, CA 92129-2687
Phone: (858) 538-6695
Fax: (858) 538-3182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT 11900TPG (CA)

Record details

NPI number1922080720
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESMarch 1, 2016

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