DR. KATHERYN ELIZABETH CREGAN (OD) – Optometrist, NPI 1083392070

DR. KATHERYN ELIZABETH CREGAN (OD) is a healthcare provider. based in Miami, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6290 (FL). The NPI Number for DR. KATHERYN ELIZABETH CREGAN (OD) is 1083392070

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERYN ELIZABETH CREGAN (OD)
NPI
1083392070
Phone
(518) 538-5039
Address
1500 NW NORTH RIVER DR APT 803
Enumeration Date
10 July 2023
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
2399364706
Graduation Year
2023 (3 years ago)
PAC ID
2567814171
Group Practice PAC ID
1456320704
Professional Enrollment ID
I20240119000667
Address ID
FL339127151FO6900XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. KATHERYN ELIZABETH CREGAN (OD)

  • 1500 NW NORTH RIVER DR APT 803

    MIAMI, FL 331252687

    Phone: (518) 538-5039

    Type: Mailing

  • 1097 S LE JEUNE RD

    MIAMI, FL 331342639

    Phone: (305) 442-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240119000667IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456320704View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YKY
O P H T H A L M O L O G YFL
Nurse PractitionerFL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. KATHERYN ELIZABETH CREGAN (OD)?
The federal identifier for DR. KATHERYN ELIZABETH CREGAN (OD) is NPI 1083392070.
Is DR. KATHERYN ELIZABETH CREGAN (OD) currently active in the NPI registry?
CMS-published data lists DR. KATHERYN ELIZABETH CREGAN (OD) as an active registrant.
Does DR. KATHERYN ELIZABETH CREGAN (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. KATHERYN ELIZABETH CREGAN (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KATHERYN ELIZABETH CREGAN (OD)?
The snapshot lists Miami, Florida for DR. KATHERYN ELIZABETH CREGAN (OD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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