Healthcare Provider Details

I. General information

NPI: 1154760429
Provider Name (Legal Business Name): TRAVIS JOSEPH ABEL O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 CHESTNUT RIDGE RD
WOODCLIFF LAKE NJ
07677-7679
US

IV. Provider business mailing address

425 CHESTNUT RIDGE RD
WOODCLIFF LAKE NJ
07677-7679
US

V. Phone/Fax

Practice location:
  • Phone: 201-746-6700
  • Fax: 201-746-6699
Mailing address:
  • Phone: 201-746-6700
  • Fax: 201-746-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00690800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: