Julia Ann Regan, O.D.
Individual provider Active NPI Optometrist · Rye, CO
NPI 1679618953 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679618953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1414 (CO)
- Practice address
- 8155 Pine Dr
Rye, CO 81069-8813 - Phone
- (719) 250-1266
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1414 | CO | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1414 | CO | Yes |
Addresses
Primary practice location
8155 Pine Dr
Rye, CO 81069-8813
Mailing address
8155 Pine Dr
Rye, CO 81069-8813
Phone (719) 489-2979
Other providers in Rye, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.