Individual provider Active NPI

Travis B Strickler, O.D.

  • Optometrist
  • Lafayette, IN
National Provider Identifier
1124104229
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003240A Issued in IN
Practice address
3554 Promenade Pkwy Ste a
Lafayette, IN 47909
Phone
(765) 607-1131
Fax
(765) 607-1454
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003240B IN
Optometrist 152W00000X 18003240A IN Primary

Addresses

Primary practice location

3554 Promenade Pkwy Ste a
Lafayette, IN 47909

Mailing address

3554 Promenade Pkwy Ste a
Lafayette, IN 47909-8418
Phone (765) 607-1131

Other practice location 1

3888 Union St
Lafayette, IN 47905-4471
Phone (765) 447-5413

Other identifiers 1

IdentifierTypeStateIssuer
201262990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000185 IN Practitioner - Optometry 2668573023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3554 Promenade Pkwy
Suite a
Lafayette, IN 47909-8418
Phone (765) 607-1131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003240BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Strickler Family Eyecare LLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients

Locations

3554 Promenade Pkwy
Ste A
Lafayette, IN 47909
Phone (765) 607-1131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1124104229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 PROMENADE PKWY STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098418",
            "telephone_number": "765-607-1131",
            "fax_number": "765-607-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 PROMENADE PKWY STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47909",
            "telephone_number": "765-607-1131",
            "fax_number": "765-607-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3888 Union St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054471",
            "country_code": "US",
            "telephone_number": "765-447-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLER",
        "first_name": "TRAVIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003240B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003240A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201262990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.