Provider Demographics
NPI:1740448554
Name:STANLEY A. STRAUSS OD,PA
Entity type:Organization
Organization Name:STANLEY A. STRAUSS OD,PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-475-8897
Mailing Address - Street 1:1809 MARSH RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4505
Mailing Address - Country:US
Mailing Address - Phone:302-475-8897
Mailing Address - Fax:302-475-6919
Practice Address - Street 1:1809 MARSH RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4505
Practice Address - Country:US
Practice Address - Phone:302-475-8897
Practice Address - Fax:302-475-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0671010001Medicare NSC