Travis Robert Bryant, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002353 Issued in AZ

Practice address

5979 Desert Storm Ave.
Lapointe Health Clnic Optometry
Ft. Campbell, KY 42223

Phone

(270) 412-9113

NPI assigned

Oct 15, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1639711203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HAMPTON PL APT 10206",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406379",
            "telephone_number": "480-570-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 DESERT STORM AVE.",
            "address_2": "LAPOINTE HEALTH CLNIC OPTOMETRY",
            "city": "FT. CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-412-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TRAVIS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna V Brown, PA
• Wendy D Brown, LPN
• Alma Bruce
• George Lyle Bruce, DMD
• Samuel Paul Brunson
• Alan Daniel Bucholz, PA
• Christina N Buckley, FNP-BC, ENP-C
• Rebecca Lynn Budnick, AU.D.
• Allen Michael Bukowski, PT
• Phillip Bradley Burgess, DPT

• Optometrist in Ft. Campbell, KY
• Providers in Ft. Campbell, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.