Individual Healthcare Provider
Jacob Austin Travis, OD
Provider's NPPES record last updated: August 11, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1639863392
- Primary Specialty
- Optometrist
- Practice Location
- Union, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 6:24 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Optometrist
Eye and Vision Services Providers
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Taxonomy code 152W00000X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Optometrist (Missouri)
- 2023022831
Practice Locations
Practice Location
1595 Denmark Rd
Union, Missouri 63084-4911
Phone: (636) 584-8989
Additional Practice Location
3071 Phoenix Center Dr
Washington, Missouri 63090-5690
Phone: (636) 777-2345
Fax: (636) 777-2115
Additional Practice Location
54 the Legends Pkwy Ste 151
Eureka, Missouri 63025-3803
Phone: (636) 938-7010
Fax: (636) 938-7141
Additional Practice Location
2698 Gravois Rd
High Ridge, Missouri 63049-2508
Phone: (636) 677-1166
Fax: (636) 677-1324
Additional Practice Location
699 Gravois Bluffs Blvd Ste B
Fenton, Missouri 63026-7745
Phone: (636) 349-3005
Fax: (636) 305-1021
Additional Practice Location
2404 Taylor Rd
Wildwood, Missouri 63040-1222
Phone: (636) 458-8787
Fax: (636) 405-0629
Additional Practice Location
330 W Osage St
Pacific, Missouri 63069-1331
Phone: (636) 271-4500
Fax: (636) 271-6940
Additional Practice Location
14842 Manchester Rd
Ballwin, Missouri 63011-4620
Phone: (636) 557-2020
Fax: (636) 557-4020
Additional Practice Location
730 S Kirkwood Rd
Kirkwood, Missouri 63122-5929
Phone: (314) 821-2626
Fax: (314) 821-4189
Record Information
- Enumeration Date
- June 6, 2023
- Provider's NPPES Record Last Updated
- August 11, 2023
- Certification Date
- August 11, 2023
- NPISignal NPPES Dataset
- August 2026
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