Individual provider Active NPI

Regan Wray, OD

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1801783113
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
832 Issued in ND
Practice address
600 Kirkwood Mall
Bismarck, ND 58504-5704
Phone
(701) 250-3185
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 832 ND Primary

Addresses

Primary practice location

600 Kirkwood Mall
Bismarck, ND 58504-5704

Mailing address

600 Kirkwood Mall
Bismarck, ND 58504-5704
Phone (701) 223-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20251031000647 ND Practitioner - Optometry 3577052380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Vision 20/20Group PAC ID 4486613965, 3 clinicians

Practice addresses (Care Compare)

300 2ND Ave NE
Suite 102
Jamestown, ND 58401-3373
Phone (701) 252-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
832NDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Vision 20/20 Optometrist CurrentSince Sep 16, 2025 Accepting new patients
Luxottica Retail North America Inc PastSince Sep 14, 2025 Accepting new patients

Locations

300 2nd Ave NE
Ste 102
Jamestown, ND 58401
Phone (701) 252-2020

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1801783113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KIRKWOOD MALL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045704",
            "telephone_number": "701-223-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KIRKWOOD MALL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045704",
            "telephone_number": "701-250-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "REGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.