Organization Active NPI

Richard L Soldinger OD

  • Optometrist
  • Okeechobee, FL
National Provider Identifier
1043474521
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1504 Issued in FL
Legal business name
RICHARD L SOLDINGER OD
Practice address
520 S Parrott Ave
Okeechobee, FL 34974-4345
Phone
(863) 763-4334
Fax
(863) 763-3226
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Shelly McCown
Title
Manager
Phone
(863) 763-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 1504 FL Primary

Addresses

Primary practice location

520 S Parrott Ave
Okeechobee, FL 34974-4345

Mailing address

520 S Parrott Ave
Okeechobee, FL 34974-4345
Phone (863) 763-4334

Other identifiers 2

IdentifierTypeStateIssuer
0365300MedicaidFL
19301OtherFLMEDICARE FCSO

National Provider Directory

National Provider Directory

Locations

520 S Parrott Ave
Okeechobee, FL 34974
Phone (863) 763-4334

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1043474521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744345",
            "telephone_number": "863-763-4334",
            "fax_number": "863-763-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744345",
            "telephone_number": "863-763-4334",
            "fax_number": "863-763-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L SOLDINGER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "MCCOWN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-763-4334"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FCSO",
            "identifier": "19301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.