Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Travis Anthony Petersen, BA, MFA

Individual provider Ocularist · NPI 1962257949

Mr. Travis Anthony Petersen, BA, MFA is an Ocularist in Lehi, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

3305 W Mayflower Way Ste 4
Lehi, UT 84048-2961
Phone: (833) 208-9009
Fax: (866) 680-1322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ocularist (primary) Taxonomy 156FX1700X

Record details

NPI number1962257949
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , MFA
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address3305 W Mayflower Way Ste 4, Lehi, UT 84048-2961

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