Individual
DONALD A TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7301 W DESCHUTES AVE STE B, KENNEWICK, WA 99336-7799
(509) 735-2020
(509) 735-2020
Mailing address
7301 W DESCHUTES AVE STE B, KENNEWICK, WA 99336-7799
(509) 735-2020
(509) 735-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000003112
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196714
LOBOR AND INDUSTRIES
WA
05
—
2019172
—
WA
Enumeration date
07/29/2005
Last updated
10/02/2012
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