Organization Active NPI

Stephen L Lauritsen OD PA

  • Optometrist
  • Falmouth, ME
National Provider Identifier
1154322287
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
782-TA Issued in ME
Legal business name
STEPHEN L LAURITSEN OD PA
Practice address
204 US Route 1
Carriage House Square
Falmouth, ME 04105-1342
Phone
(207) 781-7277
Fax
(207) 781-7277
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Stephen Leroy Lauritsen, OD
Title
President/Owner
Phone
(207) 781-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 782-TA ME Primary

Addresses

Primary practice location

204 US Route 1
Carriage House Square
Falmouth, ME 04105-1342

Mailing address

204 US Route 1
Carriage House Square
Falmouth, ME 04105-1342
Phone (207) 781-7277

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1154322287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 US ROUTE 1",
            "address_2": "CARRIAGE HOUSE SQUARE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051342",
            "telephone_number": "207-781-7277",
            "fax_number": "207-781-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 US ROUTE 1",
            "address_2": "CARRIAGE HOUSE SQUARE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051342",
            "telephone_number": "207-781-7277",
            "fax_number": "207-781-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L LAURITSEN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "LAURITSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-781-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "782-TA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.