DR. Anthony Charles Traverse, O.D.

NPI #1255431961 in Plymouth, Minnesota

Provider Information

NPI Number: 1255431961
Entity Type: Individual
Name: DR. Anthony Charles Traverse, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 23, 2006
Last Updated: Dec 8, 2022

Practice Location

Address: 10600 OLD COUNTY ROAD 15
City: Plymouth
State: Minnesota
ZIP Code: 55441-6210
Phone: (763) 545-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X

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