Travis Moffatt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6090TG Issued in TX

Practice address

18423 FM 1488 Rd Ste D
Magnolia, TX 77354-8512

Phone

(346) 386-0100

NPI assigned

Oct 24, 2006

Last updated

Mar 6, 2024By 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 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Travis Moffatt OD PLLCGroup PAC ID 4880015254, 2 clinicians

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.

• Travis Moffatt OD PLLC

  • Optometrist
  • Magnolia, TX
  • NPI 1760005375
  Medicare reassignment Care Compare group NPD Authorized official
• Mann Eye Center, PA

  dba Mann Eye Institute

  • Clinic/Center
  • Liberty, TX
  • NPI 1659384717
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1730263013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18423 FM 1488 RD STE D",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548512",
            "telephone_number": "346-386-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18423 FM 1488 RD STE D",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548512",
            "telephone_number": "346-386-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-03-06",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "6090TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6090TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0044FA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Minnick
• Faith Mintz, PHARMD
• Christina Mirumyan
• Alan W. Mitchell, D.C.
• Lea Marie Mock, CD(DONA)
• Yewande Ruqqoyah Mohammed
• Monarch Care Co. LLC (Monarch Care Co.)
• Kenya Monge Guzman
• Sonia Monge
• Tiffany Monnin

• Optometrist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.