Organization Active NPI

David V. Regan, O.D., F.a.a.O. PC, Inc.

  • Optometrist
  • Wayland, MA
National Provider Identifier
1124280235
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA2198 Issued in MA
Legal business name
DAVID V. REGAN, O.D., F.A.A.O. PC, INC.
Practice address
260 Boston Post Rd
Suite 3
Wayland, MA 01778-1889
Phone
(508) 358-4757
Fax
(508) 358-2323
NPI assigned
Jun 30, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Dr. David Vincent Regan, O.D.
Title
Owner
Phone
(508) 358-4757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MA2198 MA Primary

Addresses

Primary practice location

260 Boston Post Rd
Suite 3
Wayland, MA 01778-1889

Mailing address

260 Boston Post Rd
Suite 3
Wayland, MA 01778-1889
Phone (508) 358-4757

National Provider Directory

National Provider Directory

Locations

260 Boston Post Rd
Ste 3
Wayland, MA 01778
Phone (508) 358-4757

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1124280235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BOSTON POST RD",
            "address_2": "SUITE 3",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781889",
            "telephone_number": "508-358-4757",
            "fax_number": "508-358-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BOSTON POST RD",
            "address_2": "SUITE 3",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781889",
            "telephone_number": "508-358-4757",
            "fax_number": "508-358-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID V. REGAN, O.D., F.A.A.O. PC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-358-4757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA2198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.