Provider Demographics
NPI:1912559238
Name:LEMAY, GREGORY (OD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:LEMAY
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1594 EDGEWATER ST NW STE 190
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4656
Mailing Address - Country:US
Mailing Address - Phone:541-342-2201
Mailing Address - Fax:
Practice Address - Street 1:1594 EDGEWATER ST NW STE 190
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4656
Practice Address - Country:US
Practice Address - Phone:541-342-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4478AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist