Individual provider Active NPI

Troy Michael Avery, O.D.

  • Optometrist
  • Lewiston, ME
National Provider Identifier
1497857429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT814 Issued in ME
Practice address
181 Russell St
Lewiston, ME 04240-5436
Phone
(207) 784-1814
Fax
(207) 783-3159
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT814 ME Primary

Addresses

Primary practice location

181 Russell St
Lewiston, ME 04240-5436

Mailing address

181 Russell Street
Lewiston, ME 04240
Phone (207) 784-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000273 ME Practitioner - Optometry 3375588007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale Rodrigue Eyecare Center, Inc.Group PAC ID 5799097580, 2 clinicians

Practice addresses (Care Compare)

58 State St
Augusta, ME 04330-5124
Phone (207) 623-5099

Merit-based Incentive Payment System (MIPS)

Final score
96.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Majka MD PLLC Current Accepting new patients
Dale Rodrigue Eyecare Center, Inc Optometrist CurrentSince Jul 21, 2025 Accepting new patients

Locations

58 State St
Augusta, ME 04330
Phone (207) 623-5099

Interoperability endpoints

  • Direct secure messaging: tavery@cppclinical.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497857429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 RUSSELL STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-784-1814",
            "fax_number": "207-783-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 RUSSELL ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405436",
            "telephone_number": "207-784-1814",
            "fax_number": "207-783-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "TROY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.