Individual provider Active NPI

Orkida Solomon, OD

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1073651683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 12739 T Issued in CA
Practice address
1665 Dominican Way
Suite 124
Santa Cruz, CA 95065-1528
Phone
(831) 476-6943
Fax
(831) 476-1473
NPI assigned
Feb 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 12739 T CA Primary

Addresses

Primary practice location

1665 Dominican Way
Suite 124
Santa Cruz, CA 95065-1528

Mailing address

1665 Dominican Way
Suite 124
Santa Cruz, CA 95065-1528
Phone (831) 476-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000498 CA Practitioner - Optometry 1951365733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Eye Medical Group IncGroup PAC ID 4486621745, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

1665 Dominican Way
Suite 124
Santa Cruz, CA 95065-1528
Phone (831) 475-7012

Merit-based Incentive Payment System (MIPS)

Final score
97.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 12739 TCAMDOptometrist
12739CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Eye Medical Group Inc CurrentSince Oct 19, 2004 Accepting new patients
Bay Eye Medical Group Inc CurrentSince Oct 19, 2004 Accepting new patients

Locations

1665 Dominican Way
Ste 122
Santa Cruz, CA 95065
Phone (831) 475-7012

1665 Dominican Way
Ste 124
Santa Cruz, CA 95065
Phone (831) 475-7012

65 Aspen Way
Watsonville, CA 95076
Phone (831) 475-7012

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073651683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 124",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-6943",
            "fax_number": "831-476-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 124",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-6943",
            "fax_number": "831-476-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ORKIDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12739 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.