Anthony B Trawick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1885 Issued in FL

Practice address

5125 S Lakeland Dr
Suite 1
Lakeland, FL 33813-2578

Phone

(863) 644-7773

Fax

(863) 646-2809

NPI assigned

Oct 27, 2005

Last updated

Apr 5, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Eye Center South LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1952604290
  Medicare reassignment NPD Authorized official
• Anthony B. Trawick, O.D.

  • Eyewear Supplier
  • Lakeland, FL
  • NPI 1598905986
  Authorized official Same address or phone

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1720078926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 S LAKELAND DR",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132578",
            "telephone_number": "863-644-7773",
            "fax_number": "863-646-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 S LAKELAND DR",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132578",
            "telephone_number": "863-644-7773",
            "fax_number": "863-646-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWICK",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078367600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khoa Dang Tran
• Lee Tran
• Xuan Tran, PHARM.D.
• Transparent Health Marketplace
• Daniel C Traviesa, MD
• Trayn Medical Transportation LLC
• Thomas Jeffrey Traynham
• Treasured Care LLC
• Treasured Care LLC
• Treasured Love Homecare Agency, LLC

• Optometrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.