Justin Ray Travis, OD | |
1748 Broadway St, Paducah, KY 42001-2706 | |
(270) 443-9955 | |
(270) 442-1469 |
Full Name | Justin Ray Travis |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 11 Years |
Location | 1748 Broadway St, Paducah, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295177152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2001-IOD1 (West Virginia) | Secondary |
152W00000X | Optometrist | 2138DT (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clarkson Optometry Midwest Inc | 0749504165 | 79 |
Provider Name | Clarkson Optometry Midwest Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461 |
Mailing Address | Practice Location Address |
---|---|
Justin Ray Travis, OD 1748 Broadway St, Paducah, KY 42001-2706 Ph: (270) 443-9955 | Justin Ray Travis, OD 1748 Broadway St, Paducah, KY 42001-2706 Ph: (270) 443-9955 |
Hannah Ellis, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 60 Lakeview Dr, Paducah, KY 42001 Phone: 270-554-2000 Fax: 270-554-2989 | |
Austin Joseph Dias, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3910 Hinkleville Rd, Paducah, KY 42001 Phone: 270-443-2090 | |
Micah R Seilheimer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3340 Irvin Cobb Dr, Paducah, KY 42003 Phone: 270-441-7332 | |
Dr. Daniel O'connor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4630 Village Square Dr, Paducah, KY 42001 Phone: 270-442-1671 | |
Dr. David N Tucker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1748 Broadway St, Paducah, KY 42001 Phone: 270-443-9955 Fax: 270-442-1469 | |
Dr. Canaan Matthew Montgomery, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2559 New Holt Rd, Paducah, KY 42001 Phone: 270-558-4741 Fax: 270-558-4742 | |
Fred Klutts Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3910 Hinkleville Rd, Paducah, KY 42001 Phone: 270-443-2090 Fax: 270-444-2086 |