Strickler, Travis B

Strickler, Travis B is an individual health care provider with primary practice located at 3554 Promenade Pkwy Ste A , Lafayette IN 47909. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Strickler, Travis B can be contacted via phone (765) 607-1131.

Contact Information

Primary practice address
3554 Promenade Pkwy Ste A Lafayette IN 47909
Fax: (765) 607-1454
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003240B Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18003240A Indiana

Profile Details

NPI number 1124104229
LBN Legal business name Strickler, Travis B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 10th, 2019 - 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 1124104229 NPPES
Indiana MEDICAID 201262990

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