Travis L Oliver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2176 Issued in TN

Practice address

8400 US Highway 64
Bartlett, TN 38133-4187

Phone

(901) 381-1222

NPI assigned

Jun 1, 2005

Reactivated

Mar 28, 2006

Last updated

Jul 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1235133588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9058 GRACIE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165363",
            "telephone_number": "901-218-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 US HIGHWAY 64",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334187",
            "telephone_number": "901-381-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "TRAVIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-07-03",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael O'Dea, APN
• Erin L O'Hara, DPT
• Rachel O'Leary, PHARM.D.
• Rachael M Oiler, LPC-MHSP
• Alyssa Oldani, OTR/L
• Anne Kathryn Olson, DMD
• Victor Omotayo Omotunde, P.T.,DPT
• One Health Family Clinic LLC
• Jose Gabriel Alunan Ongsingco, MD
• Onward Amputee Care LLC

• Optometrist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.