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 |