Andrew Wayne Solomon, O.D. – Optometrist

Key facts

NPI: 1023216868
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: OPT002384 (GA)
Practice address: 205 W McPherson Ave
Nashville, GA 31639-2131
Phone: (229) 686-3937
NPI assigned: Jul 3, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Nashville Eye Center LLC Optometrist · Nashville, GA · NPI 1437357134

Medicare reassignment NPD Authorized official GA · OPTOMETRIST

Medicare Care Compare profile

Specialty: Optometry
Education: University Alabama Birmingham - School of Optometry, 2007
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 W McPherson Ave
Nashville, GA 31639-2131
Phone (229) 686-3937

Procedures performed for Medicare patients

Procedure	Number of procedures
Cataract surgery	1-10

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20071129000033	GA	Practitioner - Optometry	1052400090	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Nashville Eye Center LLC	Optometrist	Current since Aug 30, 2007	Accepting new patients

Locations

205 W McPherson Ave
Nashville, GA 31639
Phone (229) 686-3937

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	OPT002384	GA	Yes

Addresses

Primary practice location

205 W McPherson Ave
Nashville, GA 31639-2131

Mailing address

PO Box 27
Nashville, GA 31639-0027
Phone (229) 686-3937

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2011.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1023216868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316390027",
            "telephone_number": "229-686-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MCPHERSON AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392131",
            "telephone_number": "229-686-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ANDREW",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, GA

All providers in Nashville, GA · Optometrist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.