| 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 | Optometry |
| Experience | 4 Years |
| Location | 295 Park Ave, Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Community Health Center | 5395998017 | 36 |
| Provider Name | Portland Community Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609120856 PECOS PAC ID: 5395998017 Enrollment ID: O20130206000120 |
| 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 |