Optometrist
KENNEDY VISION HEALTH CENTER, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255165932 · enumerated 2024-08-27 · record updated 2024-08-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. ANTHONY TRAVERSE OD, OD/Owner · (763) 545-8850
Addresses and phones
- Mailing address 10600 OLD COUNTY ROAD 15, PLYMOUTH, MN, 55441-6200 (763) 373-6042 Fax (763) 441-7631 Google Maps Apple Maps OpenStreetMap
- Practice location 9075 QUANTRELLE AVE NE STE 300, OTSEGO, MN, 55330-0139 (763) 545-8850 Fax (763) 441-7631 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary
In this directory
Locations and evidence
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Practice location
OTSEGO, MN, 553300139
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.