Individual provider Active NPI

Cameron Gail Lory, OD

  • Optometrist
  • White River Junction, VT
National Provider Identifier
1902743149
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0134042 Issued in VT
Practice address
155 Maple St Ste 1
White River Junction, VT 05001-7029
Phone
(802) 295-3300
Fax
(802) 295-6581
NPI assigned
May 4, 2026
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0134042 VT Primary

Addresses

Primary practice location

155 Maple St Ste 1
White River Junction, VT 05001-7029

Mailing address

155 Maple St Ste 1
White River Junction, VT 05001-7029
Phone (802) 295-3300

Other names 1

  • Cameron Rediker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20260611002581 VT Practitioner - Optometry 2567934482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment
Group practices
Junction Eye Center LLCGroup PAC ID 1951664721, 6 clinicians

Practice addresses (Care Compare)

155 Maple St
White River Junction, VT 05001-7029
Phone (802) 295-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0134042VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Junction Eye Center LLC Optometrist CurrentSince Jun 16, 2024 Accepting new patients

Locations

155 Maple St
White River Junction, VT 05001
Phone (802) 295-3300

155 Maple St
Ste 1
White River Junction, VT 05001
Phone (802) 295-3300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1902743149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST STE 1",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017029",
            "telephone_number": "802-295-3300",
            "fax_number": "802-295-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST STE 1",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017029",
            "telephone_number": "802-295-3300",
            "fax_number": "802-295-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORY",
        "first_name": "CAMERON",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0134042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "REDIKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.