Provider Demographics
NPI:1982776332
Name:STRAUSS, MOSHE II (OD)
Entity type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:
Last Name:STRAUSS
Suffix:II
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 1:1326 BOUND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1401
Mailing Address - Country:US
Mailing Address - Phone:732-356-0300
Mailing Address - Fax:732-805-3032
Practice Address - Street 1:1326 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1401
Practice Address - Country:US
Practice Address - Phone:732-356-0300
Practice Address - Fax:732-805-3032
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ5243152W00000X
NYNY5461152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2011746OtherAETNA
NYP575599OtherOXFORD
NY2011746OtherAETNA
NYA300044610Medicare PIN
NJ4874280001Medicare NSC
NYP575599OtherOXFORD