Healthcare Provider Details

I. General information

NPI: 1205280591
Provider Name (Legal Business Name): TRAVIS WAYNE BAILEY O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 HIGDON FERRY RD STE E
HOT SPRINGS AR
71913-6904
US

IV. Provider business mailing address

1635 HIGDON FERRY RD STE E
HOT SPRINGS AR
71913-6904
US

V. Phone/Fax

Practice location:
  • Phone: 501-525-4272
  • Fax:
Mailing address:
  • Phone: 501-525-4272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number8791T
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number8791T
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number8791T
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number8791T
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT8251
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: