Individual provider Active NPI

Kaitlyn Ann Gregory, OD

  • Optometrist
  • Milford, NH
National Provider Identifier
1063901619
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0980 Issued in NH
Practice address
603 Nashua St
Milford, NH 03055-5041
Phone
(603) 672-0338
Fax
(602) 672-5228
NPI assigned
May 8, 2018
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1001 ME
Optometrist 152W00000X 0980 NH Primary

Addresses

Primary practice location

603 Nashua St
Milford, NH 03055-5041

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

166 Burkehaven Hill Rd
Sunapee, NH 03782-2604
Phone (603) 769-1037

Other practice location 2

748 Calef Hwy Unit 11
Barrington, NH 03825-3649
Phone (603) 664-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106002029 NH Practitioner - Optometry 4082967203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

577 Nashua St
Milford, NH 03055-4924
Phone (603) 672-0338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Past Accepting new patients

Locations

1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377

370 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 424-0404

577 Nashua St
Milford, NH 03055
Phone (603) 672-0338

603 Nashua St
Milford, NH 03055
Phone (603) 672-0338

13 Indian Rock Rd
Windham, NH 03087
Phone (603) 792-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1063901619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NASHUA ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030555041",
            "telephone_number": "603-672-0338",
            "fax_number": "602-672-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Burkehaven Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Sunapee",
            "state": "NH",
            "postal_code": "037822604",
            "country_code": "US",
            "telephone_number": "603-769-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "748 Calef Hwy Unit 11",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "NH",
            "postal_code": "038253649",
            "country_code": "US",
            "telephone_number": "603-664-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1001",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.