Provider Demographics
NPI:1093937039
Name:TRAVIS B. STRICKLER, O.D., P.C.
Entity Type:Organization
Organization Name:TRAVIS B. STRICKLER, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:STRICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-439-2911
Mailing Address - Street 1:1123 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-9796
Mailing Address - Country:US
Mailing Address - Phone:317-439-2911
Mailing Address - Fax:
Practice Address - Street 1:3100 MERIDIAN PARKE DR
Practice Address - Street 2:STE. B
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-9427
Practice Address - Country:US
Practice Address - Phone:317-888-9755
Practice Address - Fax:317-888-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003240A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty