Travis Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

341 Issued in NC

Legal business name

TRAVIS OPTICAL

Practice address

3901 N Roxboro Rd
Durham, NC 27704-0118

Phone

(919) 477-4006

Fax

(919) 477-4006

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fred Matthew Travis, OPTICIAN

Title

Owner

Phone

(919) 477-4006

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilyn Ann Hester, LDO

  • Optician
  • Durham, NC
  • NPI 1144417510
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982760922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15118",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040118",
            "telephone_number": "919-477-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040118",
            "telephone_number": "919-477-4006",
            "fax_number": "919-477-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-477-4006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8801919",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Trask, MS, CCC-SLP
• Brittany Bass Travars, NP
• Alison Travers, OTR/L
• Katie Marie Travers, PA-C, MSPH
• Ashley Gentile Traversa
• Daniel Joshua Travis
• Carol Traynor
• Katherine Rose Treadway, LCSWA
• Allyssa Marie Treadwell, MSN, CPNP-AC
• Treasuring Life Care, LLC

• Optician in Durham, NC
• Providers in Durham, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.