Individual provider Active NPI

David M. Soll, O.D.

  • Optometrist
  • Brighton, MA
National Provider Identifier
1235213166
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2603 Issued in MA
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

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1991083001OtherMACIGNA
152724OtherMAHARVARD
719275OtherMATUFTS
W15191OtherMABLUE CROSS OF MA
4257304OtherMAAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000168 MA Practitioner - Optometry 3375618499 Reassigns benefits to 1 organization

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
Myeyedr Optometry of Massachusetts P CGroup PAC ID 1951661297, 57 clinicians

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

LicenseStateTypeSpecialty
2603MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 19, 2019 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 19, 2019 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.

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

Verify at the official NPI Registry.