Travis A Gresham III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1224 Issued in FL

Practice address

25225 Chamber of Commerce Dr
Bonita Springs, FL 34135-7887

Phone

(239) 495-2020

Fax

(239) 947-2020

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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 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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.96 of 100Reported as individual

Quality

87.91

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Travis a. Gresham, III, O.D.

  • Health Service Clinic/Center
  • Bonita Springs, FL
  • NPI 1720446792
  NPD (past) Authorized official
• Grant Eyeglasses Inc.

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1760654362
  NPD (past)
• West Coast Eye Care Inc

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1336202258

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1861591349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25225 CHAMBER OF COMMERCE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357887",
            "telephone_number": "239-495-2020",
            "fax_number": "239-947-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25225 CHAMBER OF COMMERCE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357887",
            "telephone_number": "239-495-2020",
            "fax_number": "239-947-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL1224",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R. MEDICARE",
            "identifier": "406580311",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lirka Gonzalez Rodriguez
• Taylor Scott Gooch
• David M. Goodman, M.ED.
• Gregory M Dowbak MD PA
• Zannos Giorgios Grekos, MD
• Chris Grevengood, M.D
• Alex Grodzicki, DPT
• Adam Michael Gromak, DDS
• Giuseppe Guaitoli, M.D.
• Guardian Orthotics Care, LLC

• Optometrist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.