Active NPI
David M. Soll, O.D.
- Optometrist
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2603
- Practice address
- 8 Wiltshire Rd
Brighton, MA 02135-3937 - Phone
- (617) 620-4565
- Fax
- (888) 838-8947
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2603 | MA | Primary |
Addresses
Primary practice location
8 Wiltshire Rd
Brighton, MA 02135-3937
Mailing address
8 Wiltshire Rd
Brighton, MA 02135-3937
Phone (617) 620-4565
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991083001 | Other | MA | CIGNA |
| 152724 | Other | MA | HARVARD |
| 719275 | Other | MA | TUFTS |
| W15191 | Other | MA | BLUE CROSS OF MA |
| 4257304 | Other | MA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Washington St
Wellesley, MA 02481-1706
Phone (781) 263-7360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2603 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Past | Accepting new patients |
Locations
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
33 Broad St
Boston, MA 02109
Phone (617) 742-7200
1 Washington St
Ste 101
Wellesley Hills, MA 02481
Phone (617) 332-1471
1 Washington St
Wellesley Hls, MA 02481
Phone (781) 263-7360
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1235213166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WILTSHIRE RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353937",
"telephone_number": "617-620-4565",
"fax_number": "888-838-8947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WILTSHIRE RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353937",
"telephone_number": "617-620-4565",
"fax_number": "888-838-8947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLL",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1991083001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "152724",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "719275",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "W15191",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4257304",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.