NPI 1629324595

Travis Ryan Kliewer, OD

Practitioner Optometrist Shawnee, OK

Practice location

Address: 100 E 45th St, Shawnee, OK 74804-1439
Phone: (405) 275-7676
Fax: (405) 275-6837

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2736 (OK)

Other Optometrist providers in Oklahoma →

Registry record

NPI: 1629324595
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2012
Record last updated: 30 Jul 2012

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.