Individual provider Active NPI

Kathryn Dingley Gurney, O.D.

  • Optometrist
  • Farmington, ME
National Provider Identifier
1104887900
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT819 Issued in ME
Practice address
130 Main St
Farmington, ME 04938-1818
Phone
(207) 778-2100
Fax
(207) 778-6590
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT819 ME Primary

Addresses

Primary practice location

130 Main St
Farmington, ME 04938-1818

Mailing address

PO Box 190
Farmington, ME 04938-0190
Phone (207) 778-2100

Other identifiers 1

IdentifierTypeStateIssuer
260970099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050629000040 ME Practitioner - Optometry 6709822976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Eye Care AssociatesGroup PAC ID 0143317305, 8 clinicians

Practice addresses (Care Compare)

130 Main St
Farmington, ME 04938-1818
Phone (207) 873-2731

Merit-based Incentive Payment System (MIPS)

Final score
97.37 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Care Associates CurrentSince Jan 1, 2019 Accepting new patients
Maine Eye Care Associates CurrentSince Jan 1, 2019 Accepting new patients

Locations

349 Wilton Rd
Farmington, ME 04938

130 Main St
Farmington, ME 04938
Phone (207) 778-2100

123 Somerset Plz
Pittsfield, ME 04967
Phone (207) 487-2261

325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1104887900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049380190",
            "telephone_number": "207-778-2100",
            "fax_number": "207-778-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381818",
            "telephone_number": "207-778-2100",
            "fax_number": "207-778-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGLEY GURNEY",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260970099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.