Provider Demographics
NPI:1912559238
Name:LEMAY, GREGORY (OD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:LEMAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17916 SW PARRISH LN
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-8857
Mailing Address - Country:US
Mailing Address - Phone:503-737-7479
Mailing Address - Fax:
Practice Address - Street 1:8269 SW WILSONVILLE RD STE G
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7719
Practice Address - Country:US
Practice Address - Phone:503-685-9015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4478AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist