Taylor Battaglia, OD
Individual provider Active NPI Optometrist · Riverhead, NY
NPI 1467948299 · NPPES record last updated Jul 4, 2018
Key facts
- NPI
- 1467948299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 008834 (NY)
- Practice address
- 887 Old Country Rd Ste K-L
Riverhead, NY 11901-2115 - Phone
- (631) 727-2858
- NPI assigned
- Jul 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008834 | NY | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008834 | NY | Yes |
Addresses
Primary practice location
887 Old Country Rd Ste K-L
Riverhead, NY 11901-2115
Mailing address
1907 Cobblestone CT
Middle Island, NY 11953-1472
NPI Registry JSON
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530662400000",
"number": "1467948299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 COBBLESTONE CT",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119531472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 OLD COUNTRY RD STE K-L",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012115",
"telephone_number": "631-727-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTAGLIA",
"first_name": "TAYLOR",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-04",
"last_updated": "2018-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.