Individual provider Active NPI

Beth Ann Travis, O.D.

  • Optometrist
  • Upper Arlington, OH
National Provider Identifier
1992895965
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4973 Issued in OH
Practice address
2098 Tremont Ctr
Upper Arlington, OH 43221-3108
Phone
(614) 486-5205
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4973 OH Primary
Low Vision Rehabilitation Optometrist 152WL0500X 4973 OH

Addresses

Primary practice location

2098 Tremont Ctr
Upper Arlington, OH 43221-3108

Mailing address

2098 Tremont Ctr
Upper Arlington, OH 43221-3108
Phone (614) 486-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050324000267 OH Practitioner - Optometry 3779539713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eyecare Professionals LLCGroup PAC ID 4183778764, 6 clinicians

Practice addresses (Care Compare)

3360 Tremont Rd
Suite 200
Columbus, OH 43221-2111
Phone (614) 486-5205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4973OHMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Eyesite of Dublin Optometrist PastSince Jul 15, 1998 Accepting new patients
James C Bieber OD Optometrist PastSince Feb 15, 2011 Accepting new patients

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1992895965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 TREMONT CTR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432213108",
            "telephone_number": "614-486-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 TREMONT CTR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432213108",
            "telephone_number": "614-486-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4973",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OH",
            "license": "4973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

Verify at the official NPI Registry.