MEDICARE: DR. SANDRA STROUD OD PA

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
1	152W00000X	Optometrist	0002767	FL

General Provider Information

NPI Number	:	1427136670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. SANDRA STROUD OD PA

Provider Business Mailing Address
First Line	:	41272 US HIGHWAY 19 N
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-5106
Country	:	US
Telephone Number	:	727-937-6551
Fax Number	:	727-942-7200

Provider Business Practice Location Address
First Line	:	41272 US HIGHWAY 19 N
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-5106
Country	:	US
Telephone Number	:	727-937-6551
Fax Number	:	727-942-7200

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SANDRA STROUD
Credential	:
Telephone Number	:	727-937-6551

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	08/22/2020

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