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

LicenseStateTypeSpecialty
008834NYMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 4, 2018.

{
    "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

All providers in Riverhead, NY · Optometrist in New York

Sources for this page

Verify at the official NPI Registry.