Dr Kathryn L Regan, OD, MS | |
6000 Kanakanak Road, Dillingham, AK 99576 | |
(907) 842-9362 | |
Not Available |
Full Name | Dr Kathryn L Regan |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 6000 Kanakanak Road, Dillingham, Alaska |
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 Po Box 130, Dillingham, AK 99576-0130 Ph: (602) 271-7960 | Dr Kathryn L Regan, OD, MS 6000 Kanakanak Road, Dillingham, AK 99576 Ph: (907) 842-9362 |
Bristol Bay Area Health Corporation Vision Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-9201 Fax: 907-842-9203 | |
Emily Paige Oliver, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 800-478-5201 | |
Dr. Mario Cruz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6000 Kanakanak, Dillingham, AK 99576 Phone: 907-842-5201 |