Pamela Sue Solly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6918TG Issued in TX

Practice address

747 Highway 71 W
Suite a-550
Bastrop, TX 78602-4096

Phone

(512) 321-3042

Fax

(512) 321-3083

NPI assigned

Aug 11, 2006

Last updated

Jun 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• La Grange Eye Care, PLLC

  • Optometrist
  • La Grange, TX
  • NPI 1851775050
  Medicare reassignment NPD Authorized official
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Bastrop Family Eye Care

  • Optometrist
  • Bastrop, TX
  • NPI 1952692147
  Authorized official Same address or phone
• Austin Oculoplastics PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • West Lake Hills, TX
  • NPI 1871982017
  NPD (past)
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Karen Henson OD PC

  dba La Grange Vision Center

  • Optometrist
  • La Grange, TX
  • NPI 1639162019
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1346252319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 HIGHWAY 71 W",
            "address_2": "SUITE A-550",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024096",
            "telephone_number": "512-321-3042",
            "fax_number": "512-321-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 HIGHWAY 71 W",
            "address_2": "SUITE A-550",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024096",
            "telephone_number": "512-321-3042",
            "fax_number": "512-321-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLY",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6918TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "TX6918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "1058395",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7303862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "152203100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81620Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE WELLNESS",
            "identifier": "VP17759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01040051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "32787-020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "930467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn N. Smith, DDS
• Smithville Hospital Authority (RiverBend Medical Group)
• Smithville Hospital Authority (Bastrop Lost Pines Nursing and Rehabilitation Center)
• Smithville Hospital Authority (Silver Pines Nursing and Rehabilitation Center)
• Smithville Hospital Authority (RiverBend Medical Group)
• Julie Sorenson
• Chelsea T Speer, PA-C
• James Robert Spinuzza, OD
• Mackenzie Rae Srubar
• St. David's Healthcare Partnership, L.P, LLP (St David's Emergency Center-Bastrop, a department of St. David's South Austin Medical Center)

• Optometrist in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.

Verify at the official NPI Registry.