| Dr Kathryn L Regan, OD, MS | |
| 295 Park Ave, Portland, ME 04102-2911 | |
| (207) 874-2141 | |
| (207) 874-2164 | 
| Full Name | Dr Kathryn L Regan | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 295 Park Ave, Portland, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043985914 | NPI | - | NPPES | 
| OPT-002524 | Other | AZ | AZ STATE LICENSE ISSUED BY BOARD OF OPTOMETRY | 
| OPT.0003866 | Other | CO | CO STATE LICENSE ISSUED BY DORA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002524 (Arizona) | Secondary | 
| 152W00000X | Optometrist | OPT.0003866 (Colorado) | Primary | 
| Provider Name | Bristol Bay Area Health Corporation | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kathryn L Regan, OD, MS 180 Park Ave, Portland, ME 04102-2957 Ph: (207) 874-2141 | Dr Kathryn L Regan, OD, MS 295 Park Ave, Portland, ME 04102-2911 Ph: (207) 874-2141 | 
| Tracy K Giles Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1039 Washington Ave, Portland, ME 04103 Phone: 207-775-6533 Fax: 207-775-2702 | |
| Dr. Timothy W Tolford, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 770 Congress St, Portland, ME 04102 Phone: 207-772-8384 Fax: 207-773-0020 | |
| Timothy A Kearins, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 152 Middle St, Portland, ME 04101 Phone: 207-773-2020 Fax: 207-775-2447 | |
| Eyes On Rosemont Llc Optometrist Medicare: Medicare Enrolled Practice Location: 595 Brighton Ave, Portland, ME 04102 Phone: 207-210-6700 Fax: 207-899-3239 | |
| Hannah Glezen Calvelli, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Lowell St, Portland, ME 04102 Phone: 207-523-5388 Fax: 207-523-5310 | |
| Eyecare Today, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 449 Forest Ave Ste 8, Portland, ME 04101 Phone: 207-773-3232 Fax: 207-773-3240 |