| Travis Optometry LLC | |
|
23233 N Pima Rd Ste 115 Scottsdale AZ 85255-8359 | |
| (602) 320-2601 | |
| Not Available |
| Full Name | Travis Optometry LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 23233 N Pima Rd Ste 115, Scottsdale, Arizona |
| Authorized Official Name and Position | Travis Bals (OPTOMETRIST) |
| Authorized Official Contact | 6023202601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Optometry LLC 23233 N Pima Rd Ste 115 Scottsdale AZ 85255-8359 Ph: (602) 320-2601 | Travis Optometry LLC 23233 N Pima Rd Ste 115 Scottsdale AZ 85255-8359 Ph: (602) 320-2601 |
| NPI Number | 1578139424 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 4385085463 |
|---|---|
| Medicare Enrollment ID | O20240508000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578139424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Travis Alexander Bals |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245821859 PECOS PAC ID: 2062874985 Enrollment ID: I20230809002594 |
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