Provider Demographics
NPI:1700238326
Name:STRASBURG, DUSTIN (OD)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:
Last Name:STRASBURG
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 1:304 N 179TH ST
Mailing Address - Street 2:STE 203
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-3569
Mailing Address - Country:US
Mailing Address - Phone:308-660-3679
Mailing Address - Fax:
Practice Address - Street 1:304 N 179TH ST STE 203
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-3569
Practice Address - Country:US
Practice Address - Phone:402-614-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1456152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist