NPI age
15 years
Enumerated 2010-07-28
● Active
Type 1 · Individual
John Magnus Ketcher, O.D.
Ketcher is 1 of 55 optometrist providers in Tyler and 1 of 7867 in Texas.
Primary specialty
Optometrist
Plus 2 subspecialties
Licensed in
TX, AZ, VA
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7867 active optometrist providers in Texas.
NPI age
15 years
≈ at median (15 yr)
State licenses
3 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Practice location
1424 E Front St
Tyler, TX 75702
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1424 E Front St
Tyler, TX 75702
Specialties
-
Optometrist PrimaryDoctors 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 393764101 | |
| 01 (TX) | P02184376 | MEDICARE RAIL ROAD |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.