Provider Demographics
NPI:1851310817
Name:COMPTON, REGINA K (OD)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:K
Last Name:COMPTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:KATHLEEN
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:P.O. BOX 2177
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-2177
Mailing Address - Country:US
Mailing Address - Phone:606-432-3576
Mailing Address - Fax:606-432-7009
Practice Address - Street 1:4219 NORTH MAYO TRAIL
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501
Practice Address - Country:US
Practice Address - Phone:606-432-3576
Practice Address - Fax:606-432-7658
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1313DT152W00000X
KYKY1313DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY77000180Medicaid
KY77000180Medicaid