Provider Demographics
NPI:1033590443
Name:STRAH, JANEL E (OD)
Entity Type:Individual
Prefix:DR
First Name:JANEL
Middle Name:E
Last Name:STRAH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JANEL
Other - Middle Name:E
Other - Last Name:ELAMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2331 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4827
Mailing Address - Country:US
Mailing Address - Phone:419-626-0272
Mailing Address - Fax:419-626-1546
Practice Address - Street 1:2331 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-4827
Practice Address - Country:US
Practice Address - Phone:419-626-0272
Practice Address - Fax:419-626-1546
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH162223Medicaid
OH162223Medicaid