Travis Ryan Kliewer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2736 Issued in OK

Practice address

100 E 45TH St
Shawnee, OK 74804-1439

Phone

(405) 275-7676

Fax

(405) 275-6837

NPI assigned

Jul 30, 2012

Sex

Male

Sole proprietor

No

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 OK

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shawnee Eye Associates, PLLCGroup PAC ID 9638492374, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.92 of 100Reported as group

Quality

57.84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkliewer@svs.direct.kno2fy.com
• Direct secure messaging: kliewer@visionsourceshawnee.eyefinity-direct.com

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.

• Shawnee Eye Associates, PLLC

  • Optometrist
  • Shawnee, OK
  • NPI 1104228105
  Medicare reassignment Care Compare group NPD
• Marshall R Gleckler OD PLLC

  • Optometrist
  • Shawnee, OK
  • NPI 1811246085
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1629324595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041439",
            "telephone_number": "405-275-7676",
            "fax_number": "405-275-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041439",
            "telephone_number": "405-275-7676",
            "fax_number": "405-275-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEWER",
        "first_name": "TRAVIS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Keith Killian, LADC
• Fayth Kimbrell
• Elizabeth Jean King
• Brittany Kinnamon
• Elizabeth Susan Klein
• Kiersten Klinger
• Lisa Anne Knight, PT
• Johna Marie Knopp, LPN
• Makayla Kolat
• Jennifer M. Koonce, DDS

• Optometrist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.