Travis Optometry LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRAVIS OPTOMETRY LLC

Practice address

23233 N Pima Rd Ste 115
Scottsdale, AZ 85255-8359

Phone

(602) 320-2601

NPI assigned

Jun 1, 2021

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Bals, ODNPI 1245821859

Title

Optometrist

Phone

(602) 320-2601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis Bals

  • Optometrist
  • Tucson, AZ
  • NPI 1245821859
  Medicare reassignment NPD Authorized official
• Sandra Lerdal, AGNP

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
  • NPI 1487312187
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1578139424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23233 N PIMA RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558359",
            "telephone_number": "602-320-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23233 N PIMA RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558359",
            "telephone_number": "602-320-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "BALS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "602-320-2601",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Traub, MSW, LCSW, ACSW, MBA
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• Alyssa Trauscht
• Lindsay Travnicek, RD
• Bunja Trawally
• Blaine Allen Traylor, MD
• Jennifer Lynn Treadwell, L.AC
• Treasured Midwifery

• Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.