Active NPI
Anthony Scott Battaglia, O.D.
- Optometrist
- Maplewood, MN
National Provider Identifier
1972609626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MN2392
- Practice address
- 3001 White Bear Ave N
2011
Maplewood, MN 55109-1215 - Phone
- (651) 704-0490
- Fax
- (651) 704-0589
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MN2392 | MN | Primary |
Addresses
Primary practice location
3001 White Bear Ave N
2011
Maplewood, MN 55109-1215
Mailing address
10949 Alameda Path
Inver Grove Heights, MN 55077
Phone (651) 455-5797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN2392 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972609626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10949 ALAMEDA PATH",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "55077",
"telephone_number": "651-455-5797",
"fax_number": "651-455-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 WHITE BEAR AVE N",
"address_2": "2011",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091215",
"telephone_number": "651-704-0490",
"fax_number": "651-704-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTAGLIA",
"first_name": "ANTHONY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "MN2392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.