Provider Demographics
NPI:1982741880
Name:STRAIN, JOANN B (OD)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:B
Last Name:STRAIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2370
Mailing Address - Country:US
Mailing Address - Phone:412-221-0112
Mailing Address - Fax:412-221-5777
Practice Address - Street 1:457 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2370
Practice Address - Country:US
Practice Address - Phone:412-221-0112
Practice Address - Fax:412-221-5777
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000450152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA317528OtherUPMC
PAST144907OtherOLD NUMBER
PA0242120002OtherDMERC
PA144907E7KOtherMEDICARE
PA144907OtherHIGHMARK
PA410029895OtherRAILROAD MEDICARE
PA90042OtherCLARITY VISION
PA317528OtherUPMC
PA144907OtherHIGHMARK