NPI 1881633154 · live from the CMS NPI Registry
Kathryn R Beveridge, OD
Optometrist in Bangor, ME. National Provider Identifier 1881633154, active.
NPI record
| NPI | 1881633154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 766 Stillwater Ave, Bangor, ME 04401 |
| Practice phone | 207-945-5891 |
| Enumerated | June 5, 2006 |
| Last updated | February 17, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT756 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.