MEDICARE: DR. GREGORY LEMAY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OD70067954	WA
2	152W00000X	Optometrist	4478AT	OR

General Provider Information

NPI Number	:	1912559238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY LEMAY OD

Provider Business Mailing Address
First Line	:	PO BOX 1506
Second Line	:
City	:	CHEHALIS
State	:	WA
Zip	:	98532-0409
Country	:	US
Telephone Number	:	360-242-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	19801 SW 72ND AVE
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-8351
Country	:	US
Telephone Number	:	503-691-2283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	04/07/2026

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