Travis W Thompson

NPI #1114205994 in Ada, Oklahoma

Provider Information

NPI Number: 1114205994
Entity Type: Individual
Name: Travis W Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Jul 28, 2011
Last Updated: Jan 7, 2015

Practice Location

Address: 1921 STONECIPHER DR
City: Ada
State: Oklahoma
ZIP Code: 74820-3439
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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