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NPI Code Detail

MEDICARE: ERIC A STRAUTMAN OD

MEDICARE:   ERIC A STRAUTMAN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1492CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265426613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC A STRAUTMAN OD
Provider Business Mailing Address
First Line : 3122 BLAKE AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4415
Country : US
Telephone Number : 970-945-2020
Fax Number : 970-945-5630
Provider Business Practice Location Address
First Line : 3122 BLAKE AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4415
Country : US
Telephone Number : 970-945-2020
Fax Number : 970-945-5630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 07/08/2007

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