Individual
DR. TRAVIS S. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0350810001
DMERC
TN
01
—
2240022
UNITED HEALTHCARE
TN
05
—
3946093
—
TN
01
—
4071182
CIGNA
TN
01
—
4078706
BLUE CROSS BLUE SHIELD TN
TN
01
—
P00118568
MEDICARE RAILROAD
TN
Enumeration date
07/14/2006
Last updated
04/11/2023
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