Travis B. Bunnell, O.d., P.c.

NPI #1992797211 in Fortville, Indiana

Provider Information

NPI Number: 1992797211
Entity Type: Organization
Organization Name: Travis B. Bunnell, O.d., P.c.
Primary Specialty: Optometrist
Enumeration Date: Aug 22, 2005
Last Updated: Jun 29, 2010

Practice Location

Address: 727 E BROADWAY ST
City: Fortville
State: Indiana
ZIP Code: 46040-1551
Phone: (317) 485-5146

Authorized Official

Name: DR. TRAVIS BRENTT BUNNELL, O.D.
Title: PRESIDENT
Phone: (317) 485-5146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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