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

Dr. Anthony Charles Traverse, OD

Individual provider Optometrist · NPI 1255431961

Dr. Anthony Charles Traverse, OD is an Optometry in Plymouth, Minnesota. Graduated from Pacific University - College of Optometry in 2003, 23 years ago. Practices with Kennedy Vision Health Center LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Trained at
Pacific University - College of Optometry
Licensed in
MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

10600 Old County Road 15
Plymouth, MN 55441-6210
Phone: (763) 545-8850
Fax: (763) 544-1257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence LD2933000 (MN)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence LD2933000 (MN)
Pediatric Optometrist Taxonomy 152WP0200X · Licence LD2933000 (MN)

Record details

NPI number1255431961
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2003 (23 years in practice)
Group practice Kennedy Vision Health Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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