Healthcare Provider Details

I. General information

NPI: 1740577543
Provider Name (Legal Business Name): MICHELLE MARIE DURAND STRAUBE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE MARIE DURAND

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 MAIN ST STE 112
MILLIS MA
02054-1542
US

IV. Provider business mailing address

77 W MAIN ST
HOPKINTON MA
01748-1684
US

V. Phone/Fax

Practice location:
  • Phone: 508-376-2539
  • Fax:
Mailing address:
  • Phone: 508-497-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4865
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: