Organization Active NPI

Steven M Lord PA

Doing business as River Town Family Eye Care

  • Optometrist
  • Hampden, ME
National Provider Identifier
1164601779
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT769 Issued in ME
Legal business name
STEVEN M LORD PA
Doing business as
River Town Family Eye Care
Practice address
50 Main Rd N
Suite a
Hampden, ME 04444-1307
Phone
(207) 862-6169
Fax
(207) 862-4333
NPI assigned
Oct 31, 2007
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Dr. Steven M Lord, ODNPI 1518072602
Title
Owner
Phone
(207) 862-6169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT769 ME Primary

Addresses

Primary practice location

50 Main Rd N
Suite a
Hampden, ME 04444-1307

Mailing address

50 Main Rd N
Suite a
Hampden, ME 04444-1307
Phone (207) 862-6169

Other identifiers 1

IdentifierTypeStateIssuer
125310099MedicaidME

Other names 1

  • RIVER TOWN FAMILY EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081208000361 ME Part B Supplier - Clinic/Group Practice 3577624642 Receives reassigned benefits from 1 practitioner
Practice locations: Hampden, ME

National Provider Directory

National Provider Directory

Locations

50 Main Rd N
Hampden, ME 04444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1164601779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAIN RD N",
            "address_2": "SUITE A",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441307",
            "telephone_number": "207-862-6169",
            "fax_number": "207-862-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAIN RD N",
            "address_2": "SUITE A",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441307",
            "telephone_number": "207-862-6169",
            "fax_number": "207-862-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M LORD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-862-6169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125310099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER TOWN FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.