Provider Demographics
NPI:1104917657
Name:OCHSNER, KATHERINE ISABEL (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ISABEL
Last Name:OCHSNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MILITARY CUTOFF RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-8379
Mailing Address - Country:US
Mailing Address - Phone:910-343-0022
Mailing Address - Fax:910-343-1770
Practice Address - Street 1:700 MILITARY CUTOFF RD STE 202
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8379
Practice Address - Country:US
Practice Address - Phone:910-343-0022
Practice Address - Fax:910-343-1770
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001226207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8902672Medicaid
B03097006OtherDEA NUMBER
B03097006OtherDEA NUMBER
NC8902672Medicaid