Individual
DR. TRAVIS B BUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
727 E BROADWAY ST, FORTVILLE, IN 46040-1551
(317) 485-5146
(317) 485-5147
Mailing address
PO BOX 100, FORTVILLE, IN 46040-0100
(317) 485-5146
(317) 485-5147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002873A
IN
Other
Enumeration date
06/04/2006
Last updated
06/29/2010
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