Active NPI
Soll Eye PC of NJ
- Ophthalmology Physician
- Camden, NJ
National Provider Identifier
1306986476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SOLL EYE PC OF NJ
- Practice address
- 3 Cooper PLZ
Suite 510
Camden, NJ 08103-1438 - Phone
- (856) 342-7200
- Fax
- (856) 342-6620
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen M Soll, MD
- Title
- MD
- Phone
- (215) 288-5000
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3 Cooper PLZ
Suite 510
Camden, NJ 08103-1438
Mailing address
5001 Frankford Ave
Philadelphia, PA 19124-2619
Phone (215) 288-5000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0038890 | Medicaid | NJ | |
| 3902704 | Medicaid | NJ | |
| NJ10000 | Other | NJ | VBA ID # |
| 0603140001 | Other | NJ | DURABLE MEDICAL EQUIPMENT |
| 16789 | Other | NJ | SPECTERA LOC # |
| 24611 | Other | NJ | SPECTERA DISPENSING |
| 7053509 | Medicaid | NJ | |
| 34371 | Other | NJ | DAVIS VISION LOC # |
Other names 1
- OPTICAL
National Provider Directory
National Provider Directory- Tax ID family
- Cooper Division
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Camden, NJ
- NPI 1669560108
-
- Specialist
- Philadelphia, PA
- NPI 1083613673
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1114924701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1306986476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242619",
"telephone_number": "215-288-5000",
"fax_number": "215-744-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 510",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-7200",
"fax_number": "856-342-6620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLL EYE PC OF NJ",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SOLL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "215-288-5000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0038890",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3902704",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA ID #",
"identifier": "NJ10000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE MEDICAL EQUIPMENT",
"identifier": "0603140001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA LOC #",
"identifier": "16789",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA DISPENSING",
"identifier": "24611",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7053509",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION LOC #",
"identifier": "34371",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OPTICAL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.