Provider Demographics
NPI:1952553257
Name:STRANGE, PAMELA SUSAN (CERTIFIED OPHTHALMIC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:SUSAN
Last Name:STRANGE
Suffix:
Gender:F
Credentials:CERTIFIED OPHTHALMIC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2036
Mailing Address - Street 2:PAMELA STRANGE DBA CREATIVE VISION ACCESS
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344
Mailing Address - Country:US
Mailing Address - Phone:209-722-8117
Mailing Address - Fax:209-722-7542
Practice Address - Street 1:510 W. 25TH STREET
Practice Address - Street 2:SUITE C
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340
Practice Address - Country:US
Practice Address - Phone:209-722-8117
Practice Address - Fax:209-722-7542
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNID#35227156FX1202X
156FX1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric Technician
No156FX1900XEye and Vision Services ProvidersTechnician/TechnologistOrthoptist