Travis Christopher Stephens (NPI# 1306295894, PAC ID# 8325319361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1306295894 |
PAC ID by PECOS | 8325319361 |
Professional Enrollment ID | I20170911000302 |
Full Name | Travis Christopher Stephens |
Organization Legal Name | DECLEENE OPTOMETRY, INC. |
Address |
608 E Boulevard Kokomo IN 46902-2271 |
Phone Number | 7654535005 |
Gender | M |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 2016 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 3274578265 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
608 E Boulevard, Kokomo, IN 46902-2271 | 7654535005 | DECLEENE OPTOMETRY, INC. |
Organization Legal Name | DECLEENE OPTOMETRY, INC. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Frank Decleene Iii | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
Catherine Marie Decleene | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
Street Address |
608 E BOULEVARD |
City | KOKOMO |
State | IN |
Zip | 46902-2271 |
Name | Specialty | Organization | Address |
---|---|---|---|
Frank Decleene Iii | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
Catherine Marie Decleene | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeannette S Murphy | Clinical Social Worker | 1428 S Main St, Suite 2, Kokomo, IN 46902-1693 | |
Dawn R Cassidy | Optometry | City Optical Co Inc | 1164 S 17th St, Dr Tavel Family Eye Care, Kokomo, IN 46902-1901 |
Mark G Cutler | Optometry | Wisconsin Vision Inc | 2030 S Reed Rd, Heartland Vision, Kokomo, IN 46902-1905 |
Dana Y Stewart | Pediatric Medicine | 700 E Firmin St, Suite 212, Kokomo, IN 46902-2375 | |
Ann Swingle Lauri | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2108 E Boulevard, Kokomo, IN 46902-2401 |
Christopher Markus | Physical Therapy | Accelerated Rehabilitation Centers Ltd. | 2108 E Blvd, Kokomo, IN 46902-2401 |
Chad P Schumann | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2108 E Boulevard, Kokomo, IN 46902-2401 |
Kyle Shaffer | Physical Therapy | Ivyrehab Physical Therapy Pllc | 1805 E Hoffer St, Kokomo, IN 46902-2443 |
David A Franklin | Physical Therapy | Ivyrehab Physical Therapy, Pllc | 1805 E Hoffer St, Kokomo, IN 46902-2443 |
Tara J Galles | Occupational Therapy | 1802 Cadillac Dr E, You're In Control, Kokomo, IN 46902-2538 | |
Find all physicians in zip 46902 |
City | KOKOMO |
Zip Code | 46902 |
Specialty | OPTOMETRY |
City + Specialty | KOKOMO + OPTOMETRY |
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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.