Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON TRAVERS STREET, OD
ActiveDR. JASON TRAVERS STREET, OD is a Optometrist healthcare provider located in FARMINGTON, Missouri. NPI 1467511105 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FARMINGTON, MO
Registration Details
- NPI Number
- 1467511105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2006 (19.698436205492 yrs)
- Last Updated
- Jan 15, 2013
- License
-
2000160791 (MO)
Practice Information
- Address
-
102 WESTMOUNT DRIVEFARMINGTON, MO, 636400829Browse MO providers · Browse ZIP 63640
- Phone
- 5737563170
- Fax
- 5737560173
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FARMINGTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. SHELTON K SAGO | — | 1548317035 |
| DR. BOB HOLLIS LYPE | O.D. | 1225203276 |
| DR. MEGAN LYNN SMITH | O.D. | 1295966927 |
| DR. ELIOT G MASEK | O.D. | 1134432149 |
| CLAIRE CORTNER | — | 1255125209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.