Provider Demographics
NPI:1396715512
Name:STROMWASSER, HOWARD B (OD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:B
Last Name:STROMWASSER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SUBURBAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3596
Mailing Address - Country:US
Mailing Address - Phone:302-368-4424
Mailing Address - Fax:
Practice Address - Street 1:210 SUBURBAN DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3596
Practice Address - Country:US
Practice Address - Phone:302-368-4424
Practice Address - Fax:302-368-3091
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI3-0001138152WC0802X
DEI30001138152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE033063Medicare PIN
DET26880Medicare UPIN