Provider Demographics
NPI:1275700700
Name:STROM EYE CENTER PA
Entity Type:Organization
Organization Name:STROM EYE CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JERRY
Authorized Official - Last Name:STROM
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:941-365-9700
Mailing Address - Street 1:2020 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3801
Mailing Address - Country:US
Mailing Address - Phone:941-365-9700
Mailing Address - Fax:
Practice Address - Street 1:2020 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3801
Practice Address - Country:US
Practice Address - Phone:941-365-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86885207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty