Travis A Gresham in Bonita Springs - Optometrist
Travis A Gresham - NPI 1861591349
Travis A Gresham is a Optometrist in Bonita Springs, Florida. Travis A Gresham practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Travis A Gresham is 1861591349. The last update date is 2016-07-04.
Travis A Gresham's current location address is 25225 Chamber Of Commerce Dr, Bonita Springs, Florida. You can contact this provider via phone number 2394952020 and fax number 2399472020. The mailing address for Travis A Gresham is 25225 Chamber Of Commerce Dr, Bonita Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis A Gresham |
|---|---|
| Address | 25225 Chamber Of Commerce Dr, Bonita Springs, Florida |
| Phone Number | 2394952020 |
| Fax Number | 2399472020 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1861591349 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2016-07-04 |
Provider Mailing Address Detail
| Address | 25225 Chamber Of Commerce Dr |
|---|---|
| City | Bonita Springs |
| State | Florida (FL) |
| Post Code | 341357887 |
| Phone Number | 2394952020 |
| Fax Number | 2399472020 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | FL1224 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406580311 | FL | R.R. MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Travis A Gresham by the Centers for Medicare & Medicaid Services?
The Travis A Gresham has been assigned the NPI (National Provider Identifier) 1861591349. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Travis A Gresham is located?
The Travis A Gresham is situated at the following address: 25225 Chamber Of Commerce Dr, Bonita Springs, FL, 341357887.
What is Travis A Gresham's area of expertise and its corresponding taxonomy classification?
The Travis A Gresham's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Travis A Gresham receive its 1861591349?
The Travis A Gresham was issued its 1861591349 on 2006-09-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Travis A Gresham's details last updated?
The information pertaining to the Travis A Gresham, including its address, specialty, and other details, was most recently updated on 2016-07-04.