Active NPI
Steven Paul Lary, OD
- Optometrist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT682
- Practice address
- 1039 Washington Ave
Portland, ME 04103-3628 - Phone
- (207) 775-6533
- Fax
- (207) 775-2702
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT682 | ME | Primary |
Addresses
Primary practice location
1039 Washington Ave
Portland, ME 04103-3628
Mailing address
24 Mica CT
Topsham, ME 04086-1776
Phone (207) 557-5996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126090000 | Medicaid | ME |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT682 | ME | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden Hills Eye Care LLC | Optometrist | Current | Accepting new patients |
| Tracy K Giles PA | Optometrist | Current | Accepting new patients |
Locations
38 Curtis Ave
Camden, ME 04843
Phone (207) 236-3300
1039 Washington Ave
Portland, ME 04103
Phone (207) 775-6533
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Camden, ME
- NPI 1558524397
-
- Optometrist
- Camden, ME
- NPI 1144555012
Organizations & group practices 3
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.
-
- Optometrist
- Camden, ME
- NPI 1700390200
-
- Optometrist
- Portland, ME
- NPI 1053902395
-
- Optometrist
- Portland, ME
- NPI 1821042854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1649351552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MICA CT",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861776",
"telephone_number": "207-557-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 WASHINGTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033628",
"telephone_number": "207-775-6533",
"fax_number": "207-775-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARY",
"first_name": "STEVEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126090000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.