Individual provider Active NPI

Travis Matthew Loven, O.D.

  • Optometrist
  • Waco, TX
National Provider Identifier
1609074913
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6897 Issued in TX
Practice address
600 Hewitt Dr
Waco, TX 76712-6654
Phone
(701) 426-0299
NPI assigned
Jul 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6897 TX Primary

Addresses

Primary practice location

600 Hewitt Dr
Waco, TX 76712-6654

Mailing address

600 Hewitt Dr
Waco, TX 76712-6654
Phone (701) 426-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090702000404 TX Practitioner - Optometry 3577614551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 N New Rd
Waco, TX 76710-6930
Phone (254) 666-8900

600 Hewitt Dr
Waco, TX 76712-6654
Phone (254) 666-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neil M Bealka Jr MD PA CurrentSince Mar 17, 2014 Accepting new patients
Lovens Crystal Clear Eye Care PLLC Optometrist CurrentSince Jul 8, 2014 Accepting new patients
Neil M. Bealka Jr.,M.D. PA CurrentSince Mar 17, 2014 Accepting new patients
.Sunstar Geriatrics Healthcare PA Past Accepting new patients

Locations

190 N New Rd
Waco, TX 76710
Phone (254) 399-9979

600 Hewitt Dr
Woodway, TX 76712
Phone (254) 666-7429

Organizations & group practices 4

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": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1609074913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HEWITT DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126654",
            "telephone_number": "701-426-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEWITT DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126654",
            "telephone_number": "701-426-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEN",
        "first_name": "TRAVIS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-07",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.