Organization Active NPI

Solomon Eye Associates PC

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1063760601
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002154 Issued in VA
Legal business name
SOLOMON EYE ASSOCIATES PC
Practice address
13156 Midlothian Tpke
Midlothian, VA 23113-4245
Phone
(804) 378-2303
Fax
(804) 378-1641
NPI assigned
Aug 28, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michelle Solomon, O.D.NPI 1093078065
Title
Optometrist
Phone
(804) 378-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002154 VA Primary

Addresses

Primary practice location

13156 Midlothian Tpke
Midlothian, VA 23113-4245

Mailing address

13156 Midlothian Tpke
Midlothian, VA 23113-4245
Phone (804) 378-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000174 VA Part B Supplier - Clinic/Group Practice 0648420802 Receives reassigned benefits from 4 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

13156 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 272-0848

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063760601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13156 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134245",
            "telephone_number": "804-378-2303",
            "fax_number": "804-378-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13156 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134245",
            "telephone_number": "804-378-2303",
            "fax_number": "804-378-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "804-378-2303",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.