Travis John Shelton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

336T Issued in WY

Practice address

106 S.Main St.
Lyman, WY 82937-0429

Phone

(307) 787-6123

Fax

(307) 787-3351

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WY

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

Southern California College of Optometry, 2011

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.

• Valley Vision Center, PC

  • Optometrist
  • Lyman, WY
  • NPI 1639440019
  Medicare reassignment NPD Authorized official
• Wortham Vision Care,Inc.

  • Optometrist
  • Lyman, WY
  • NPI 1154571826
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1902180235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829370429",
            "telephone_number": "307-787-6123",
            "fax_number": "307-787-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S.MAIN ST.",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829370429",
            "telephone_number": "307-787-6123",
            "fax_number": "307-787-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TRAVIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "336T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Hearing Centers, LLC
• Gary Noe, MD
• North Lincoln County Hospital District (Star Valley Health - Bridger Valley Clinic)
• Tia Star Owens
• Prosperity Practice LLC
• Dana Spillman, DPT
• The Drug Store Inc.
• Ashby Wood Tippets, DDS
• Uinta Drug Pharmacy
• Uinta Family Pharmacy, LLC

• Optometrist in Lyman, WY
• Providers in Lyman, WY by specialty
• Optometrist in Wyoming

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