Moffatt, Travis
Moffatt, Travis is an individual health care provider with primary practice located at 18423 Fm 1488 Rd Ste D , Magnolia TX 77354-8512. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Moffatt, Travis can be contacted via phone (346) 386-0100.Contact Information
Primary practice address
18423 Fm 1488 Rd Ste D
Magnolia TX 77354-8512
Phone: (346) 386-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 6090TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6090TG | Texas |
Profile Details
| NPI number | 1730263013 |
|---|---|
| LBN Legal business name | Moffatt, Travis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Mar 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730263013 | NPPES |
| Texas | Other | 0044FA | BCBS |
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