Travis Optometry Llc | |
23233 N Pima Rd Ste 115 Scottsdale AZ 85255-8359 | |
(602) 320-2601 | |
Not Available |
Full Name | Travis Optometry Llc |
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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 |
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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 |
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Provider Enumeration Date | 06/01/2021 |
Last Update Date | 08/29/2023 |
Medicare PECOS PAC ID | 4385085463 |
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Medicare Enrollment ID | O20240508000512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578139424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Travis Alexander Bals |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245821859 PECOS PAC ID: 2062874985 Enrollment ID: I20230809002594 |
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