DR. TRAVIS ANDERSON (OD) – Corneal and Contact Management Optometrist, NPI 1306179031

DR. TRAVIS ANDERSON (OD) is a healthcare provider. based in Grand junction, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2747 (CO). The NPI Number for DR. TRAVIS ANDERSON (OD) is 1306179031

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS ANDERSON (OD)
NPI
1306179031
Phone
(970) 242-5412
Address
611 24 Rd
Enumeration Date
14 September 2009
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5038479183
Graduation Year
2009 (17 years ago)
PAC ID
9234262981
Group Practice PAC ID
3779801337
Professional Enrollment ID
I20231107002734
Address ID
OR971322912NE620XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for DR. TRAVIS ANDERSON (OD)

  • 611 24 Rd

    Grand Junction, CO 815051240

    Phone: (970) 242-5412

    Type: Location

  • 1000, Wellington Avenue, Grand Junction, Mesa County, Colorado, 81501, United States

    GRAND JUNCTION, CO 815018180

    Phone: (720) 524-1001

    Fax: (720) 524-1121

    Type: Location

  • Denver, Quintas del Sol, Chihuahua City, Municipio de Chihuahua, Chihuahua, 31214, Mexico

    SUITE 102

    DENVER, CO 80210

    Phone: (720) 524-1001

    Fax: (720) 524-1121

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100802000068IOptometryCOTBD
I20231107002734IOptometryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 81505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779801337View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YWI

Reviews

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Frequently asked questions

Can I cross-check DR. TRAVIS ANDERSON (OD) using NPI 1306179031?
NPI 1306179031 belongs to DR. TRAVIS ANDERSON (OD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. TRAVIS ANDERSON (OD)?
You should see DR. TRAVIS ANDERSON (OD) as active in CMS-hosted NPPES data.
How would a patient describe DR. TRAVIS ANDERSON (OD)'s focus?
For DR. TRAVIS ANDERSON (OD), the primary taxonomy reads as Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. TRAVIS ANDERSON (OD)?
Directory geography for DR. TRAVIS ANDERSON (OD) centers on Grand Junction, Colorado.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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