Individual provider Active NPI

Travis K Whitt, OD

  • Optometrist
  • Bozeman, MT
National Provider Identifier
1720235955
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3959 Issued in MT
Practice address
1925 N 22ND Ave Ste 201
Bozeman, MT 59718-7020
Phone
(406) 219-0700
Fax
(605) 371-7199
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3959 MT Primary

Addresses

Primary practice location

1925 N 22ND Ave Ste 201
Bozeman, MT 59718-7020

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 371-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20200731002483 MT Practitioner - Optometry 0143345983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1747 Poly Dr
Billings, MT 59102-1728
Phone (406) 294-1994

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as individual
Quality
88.88
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3959MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Thompson Vision Clinic Prof LLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients

Locations

1747 Poly Dr
Billings, MT 59102
Phone (406) 219-0700

2825 W Main St
Ste 2C
Bozeman, MT 59718
Phone (406) 219-0700

1925 N 22nd Ave
Ste 201
Bozeman, MT 59718
Phone (406) 219-0700

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Organizations & group practices 1

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1720235955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-371-7100",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N 22ND AVE STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187020",
            "telephone_number": "406-219-0700",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "TRAVIS",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.