Anderson, Travis

Anderson, Travis is an individual health care provider with primary practice located at 1000 Wellington Ave , Grand Junction CO 81501-8180. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Anderson, Travis can be contacted via phone (720) 524-1001.

Contact Information

Primary practice address
1000 Wellington Ave Grand Junction CO 81501-8180
Phone: (720) 524-1001
Fax: (720) 524-1121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2747 Colorado
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2747 Colorado

Profile Details

NPI number 1306179031
LBN Legal business name Anderson, Travis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2009
Last updated Apr 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306179031 NPPES
Colorado MEDICAID 07920865

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