Individual provider Active NPI

Jeffrey Glenn Straus, M.D.

  • Ophthalmology Physician
  • Gretna, LA
National Provider Identifier
1750656674
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
06909R Issued in LA
Practice address
401 Whitney Ave
Gretna, LA 70056-2558
Phone
(850) 830-9888
Fax
(850) 650-6513
NPI assigned
Mar 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 06909R LA Primary

Addresses

Primary practice location

401 Whitney Ave
Gretna, LA 70056-2558

Mailing address

1400 Emerald Bay Dr
Destin, FL 32541-3783
Phone (850) 830-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
06909RLAMDOphthalmology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1750656674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EMERALD BAY DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413783",
            "telephone_number": "850-830-9888",
            "fax_number": "850-650-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562558",
            "telephone_number": "850-830-9888",
            "fax_number": "850-650-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUS",
        "first_name": "JEFFREY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "06909R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.