NPI 1134110851

Travis Taylor, OD

Practitioner Optometrist South Charleston, WV

Practice location

Address: 415 D St, South Charleston, WV 25303-3107
Phone: (304) 744-1303
Fax: (304) 744-1316
Mailing address: 415 D St PO Box 8397, South Charleston, WV 25303-3107

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 949IOD (WV)

Other Optometrist providers in West Virginia →

Registry record

NPI: 1134110851
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2005
Record last updated: 11 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.