Dr. Anthony Charles Traverse is a Plymouth, Minnesota based male Optometrist with 21 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Anthony Charles Traverse is LD2933000 for Optometry in Minnesota. Dr. Anthony Charles Traverse 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Anthony Charles Traverse speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
21+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
10600 Old County Road 15, Plymouth, Minnesota, 55441-6210
Phone:
763-545-8850
Fax:
763-544-1257
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2668466335
Enrollment ID:
I20040414000639
NPI Number:
1255431961
NPI Enumeration Date:
23 Sep, 2006
NPI Last Update On:
08 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anthony Charles Traverse are as mentioned below.
License Number
Specialization
State
Status
LD2933000
Optometry
Minnesota
Primary
LD2933000
Optometry - Corneal and Contact Management
Minnesota
Secondary
LD2933000
Optometry - Pediatrics
Minnesota
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Anthony Charles Traverse has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Kennedy Vision Health Center, Llc (9739173659)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Anthony Charles Traverse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2202143
Other
Minnesota
MEDICA
050972800
Medicaid
Minnesota
417R7TR
Other
Minnesota
BLUE CROSS BLUE SHIELD
977521040529
Other
Minnesota
PERFERRED ONE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10600 Old County Road 15, Plymouth, Minnesota
Zip:
55441-6210
Phone Number:
763-545-8850
Fax Number:
763-544-1257
Patients can reach Dr. Anthony Charles Traverse at 10600 Old County Road 15, Plymouth, Minnesota or can call to book an appointment on 763-545-8850. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Optometrist in Plymouth, MN
Grant Sealock, OD Speciality: Optometrist Address: 4455 Highway 169 N, MN Phone: 763-559-7358 Fax: 763-559-2167