MEDICARE: MR. MICHAEL J. STRAUSS

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	156FX1700X	Ocularist

General Provider Information

NPI Number	:	1215161559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL J. STRAUSS

Provider Business Mailing Address
First Line	:	360 WHITE SPRUCE BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-1604
Country	:	US
Telephone Number	:	585-424-1350
Fax Number	:	585-424-1351

Provider Business Practice Location Address
First Line	:	360 WHITE SPRUCE BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-1604
Country	:	US
Telephone Number	:	585-424-1350
Fax Number	:	585-424-1351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	05/14/2009

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