Dr Travis Robert Bryant, OD is a
Optometrist based in Ft. Campbell, Kentucky. Dr Travis Robert Bryant is licensed to practice in Arizona (license number OPT-002353) and his current practice location is
5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 412-9113.
NPI number for Dr Travis Robert Bryant is 1639711203 and his current mailing address is 200 S Hampton Pl Apt 10206, Clarksville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639711203.
Healthcare Provider's Profile
| Full Name | Dr Travis Robert Bryant |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 5979 Desert Storm Ave., Ft. Campbell, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639711203
- Provider Enumeration Date: 10/15/2019
- Last Update Date: 10/15/2019
Medical Identifiers
Medical identifiers for Dr Travis Robert Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639711203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT-002353 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Travis Robert Bryant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Travis Robert Bryant, OD
200 S Hampton Pl Apt 10206,
Clarksville, TN 37040-6379
Ph: (480) 570-0235 | Dr Travis Robert Bryant, OD
5979 Desert Storm Ave., Lapointe Health Clnic Optometry,
Ft. Campbell, KY 42223
Ph: (270) 412-9113 |
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