DR. JACOB AUSTIN TRAVIS (OD) – Optometrist, NPI 1639863392
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. JACOB AUSTIN TRAVIS (OD)
3071 Phoenix Center Dr
Washington, MO 630905690
Phone: (636) 777-2345
Fax: (636) 777-2115
Type: Location
54 The Legends Pkwy Ste 151
Eureka, MO 630253803
Phone: (636) 938-7010
Fax: (636) 938-7141
Type: Location
2698 Gravois Rd
High Ridge, MO 630492508
Phone: (636) 677-1166
Fax: (636) 677-1324
Type: Location
699 Gravois Bluffs Blvd Ste B
Fenton, MO 630267745
Phone: (636) 349-3005
Fax: (636) 305-1021
Type: Location
2404 Taylor Rd
Wildwood, MO 630401222
Phone: (636) 458-8787
Fax: (636) 405-0629
Type: Location
14842 Manchester Rd
Ballwin, MO 630114620
Phone: (636) 557-2020
Fax: (636) 557-4020
Type: Location
730 S Kirkwood Rd
Kirkwood, MO 631225929
Phone: (314) 821-2626
Fax: (314) 821-4189
Type: Location
330 W Osage St
Pacific, MO 630691331
Phone: (636) 271-4500
Fax: (636) 271-6940
Type: Location
PO BOX 207158
DALLAS, TX 753207158
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
1595 DENMARK RD
UNION, MO 630844911
Phone: (636) 584-8989
Fax: (636) 584-0404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,284.
Total Amount is formed as General ($2,284) + Research ($0) + Ownership ($0) = $2,284.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: CooperVision Inc. ($1,947).
Total Amount
$2,284
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $1,947 |
| Bausch & Lomb Americas Inc. | $143 |
| Dompe US, Inc. | $125 |
| Astellas Pharma US Inc | $68 |
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: 2023-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230817002153 | I | Optometry | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| - | CA | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
Reviews
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