Travis Jones (NPI# 1720464878, PAC ID# 4183930308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720464878 |
| PAC ID by PECOS | 4183930308 |
| Professional Enrollment ID | I20150903000282 |
| Full Name | Travis Jones |
| Organization Legal Name | CHARLES E LYON, MD, APMC |
| Address |
836 Olive St Shreveport LA 71104-2102 |
| Phone Number | 3182228421 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1850370099 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2611 Greenwood Rd, Shreveport, LA 71103-3907 | 3182122020 | WK PIERREMONT EYE INSTITUTE |
| 836 Olive St, Shreveport, LA 71104-2102 | 3182228421 | CHARLES E LYON, MD, APMC |
| Organization Legal Name | CHARLES E LYON, MD, APMC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wanda M Northam | Ophthalmology | Charles E Lyon, Md, Apmc | 6 Woodmont Crossing, Vitreo Retinal Associates, Texarkana, TX 75503-2100 |
| Charles E Lyon | Ophthalmology | Charles E Lyon, Md, Apmc | 836 Olive St, Shreveport, LA 71104-2102 |
| Street Address |
836 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip | 71104-2102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Lyon | Ophthalmology | Charles E Lyon, Md, Apmc | 836 Olive St, Shreveport, LA 71104-2102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Marascalco King | Nurse Practitioner | Lsu Health Sciences Center-shreveport Faculty Group Practice | 2015 Fairfield Ave 2b Ptrs In Wellness, Lsu Hlth Sci Ctr Shreveport, Shreveport, LA 71104-2066 |
| George R Merriman | General Surgery | 949 Olive St, Shreveport, LA 71104-2103 | |
| Laurence E Welker | Podiatry | 915 Olive St, Shreveport, LA 71104-2103 | |
| Thomas M Nosser | Chiropractic | 915 Olive St, Shreveport, LA 71104-2103 | |
| William Watkins | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Blakely Nelson Thornton | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Laura Wade | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Courtney Leigh Ross | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Robert Strong Thornton | Otolaryngology | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Misty Littleton | Qualified Audiologist | Ear Nose and Throat Center A Medical Corporation | 2121 Line Ave, Shreveport, LA 71104-2126 |
| Find all physicians in zip 71104 | |||
| City | SHREVEPORT |
| Zip Code | 71104 |
| Specialty | OPTOMETRY |
| City + Specialty | SHREVEPORT + OPTOMETRY |
Please comment or provide details below to improve the information on Travis Jones.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.