Provider Demographics
NPI:1023045820
Name:STRASSMAN, HELENE M (OD)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:M
Last Name:STRASSMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 MIDSUMMER DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5221
Mailing Address - Country:US
Mailing Address - Phone:703-893-2020
Mailing Address - Fax:
Practice Address - Street 1:1340 OLD CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3955
Practice Address - Country:US
Practice Address - Phone:703-893-2020
Practice Address - Fax:703-893-4757
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000135152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU80918Medicare UPIN
VA000Y92M02Medicare PIN