DR. Jacob Austin Travis, OD

NPI #1639863392 in Union, Missouri

Provider Information

NPI Number: 1639863392
Entity Type: Individual
Name: DR. Jacob Austin Travis, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 6, 2023
Last Updated: Aug 11, 2023

Practice Location

Address: 1595 DENMARK RD
City: Union
State: Missouri
ZIP Code: 63084-4911
Phone: (636) 584-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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