Active NPIIndividual provider

Lisa A Traveis, OD

Optometrist in Ipswich, Massachusetts

NPI Number1619956794
Practice location
21 Market Street, Ste. 100, Ipswich, MA 01938
Fax
978-356-7525
Last updated
June 20, 2013

Lisa Ann Traveis is an Optometrist based in Ipswich, MA. Lisa Ann Traveis practices in Ipswich, MA and has the professional credentials of OD. The NPI Number for Lisa Ann Traveis is 1619956794 and holds a License No. 3308 (MA). The current practice location address for Lisa Ann Traveis is 21 Market Street, Ste. 100, Ipswich, MA 01938 and can be reached out via phone at 978-356-3015 and via fax at 978-356-7525.

Provider Profile Details

NPI Number
1619956794
Provider Name
Lisa Ann Traveis
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
21 Market Street, Ste. 100, Ipswich, MA 01938
Phone Number
978-356-3015
Fax Number
978-356-7525
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
January 17, 2006
Last Update Date
June 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Market Street
Ste. 100
Ipswich, MA 01938
Zip
01938
Phone Number
978-356-3015
Fax Number
978-356-7525
Ipswich, MA 01938Get directions →

Provider Business Mailing Address Details

Address
21 Market Street
Ste. 100
Ipswich, MA 01938
City
Ipswich
State
MA
Zip
01938
Phone Number
978-356-3015
Fax Number
978-356-7525

License Information

License Number (1)
3308
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
MA3308
License State (2)
MA
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa A Traveis, OD?

The NPI number of Lisa A Traveis, OD is 1619956794. It was assigned on January 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Lisa A Traveis, OD?

Lisa A Traveis, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3308.

Where does Lisa A Traveis, OD practice?

The practice location is 21 Market Street, Ste. 100, Ipswich, MA 01938. The office can be reached at 978-356-3015 (phone) or 978-356-7525 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619956794 directly on the NPPES registry website.

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