Active NPI
Stephen L Lauritsen OD PA
- Optometrist
- Falmouth, ME
National Provider Identifier
1154322287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 782-TA
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryNPI 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.