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Deactivated NPI 1710982160 Deactivated / Inactive NPI Male Practitioner

Dr. Greg Alan Ketcher , OD

Optometrist • Lawton, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Greg Ketcher has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2005
NPI Deactivation Date January 20, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Greg Ketcher, OD was a registered Optometrist practicing in Lawton, OK. Throughout an active medical career spanning 20 years, Dr. Ketcher provided care at the practice location at 1515 NE LAWRIE TATUM RD until profile deactivation on 2025-01-20.

Practice Location & Contact Primary Location

Practice Address

1515 Ne Lawrie Tatum Rd

Lawton, OK 735073002

Telephone 5803545000
Fax 5803545473
Associated Practice Facility / Clinic
🏢 Lawton Indian Hospital Facility NPI 1760489223

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lawton, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.9 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Lawton, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 1178

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christina Hutchinson , RN, WCC, DWC

Registered Nurse - Wound Care

NPI 1003285263

Registered Nurse, WCC, DWC

Tamyra Gallegos , LPN

Licensed Practical Nurse

NPI 1013386499

Licensed Practical Nurse

Patricia Mantzke , LPN

Licensed Practical Nurse

NPI 1013386820

Licensed Practical Nurse

Liane Jacobson

Registered Nurse - Ambulatory Care

NPI 1013424027
Arlene Isham , RN

Registered Nurse - Emergency

NPI 1013513407

Registered Nurse

NPI 1013719228

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 20, 2025

Record deactivated on January 20, 2025

NPI Profile Active February 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 25, 2008

Registered at 1515 NE LAWRIE TATUM RD, LAWTON, OK 735073002 (Tel: 5803545000)

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Updated Business Mailing Address February 25, 2008

Registered at 1214 NW NORWICK PL, LAWTON, OK 735054035 (Tel: 5807044734)

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Provider Name / Credentials Updated February 25, 2008

Recorded as GREG KETCHER, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2008

Optometrist (License #1178 in OK)

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Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710982160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: February 25, 2008
Deactivation Date: January 20, 2025

Mailing Address

1214 Nw Norwick Pl

Lawton, OK 735054035

Phone: 5807044734

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.