NPIMap

Organization Active NPI

David M. Soll, O.D., P.C.

  • Optometrist
  • Brighton, MA
National Provider Identifier
1356513907
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2603 Issued in MA
Legal business name
DAVID M. SOLL, O.D., P.C.
Doing business as
Downtown Eye Associates
Practice address
8 Wiltshire Rd
Brighton, MA 02135-3937
Phone
(617) 620-4565
Fax
(888) 838-8947
NPI assigned
Mar 24, 2008
Organization subpart
No

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

Authorized official

Name
Dr. David M. Soll, O.D.
Title
Optometrist
Phone
(617) 620-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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
0333638MedicaidMA
719275OtherTUFTS
152724OtherHARVARD
4257304OtherAETNA
1991083001OtherCIGNA

Other names 1

  • Downtown Eye Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1356513907",
    "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": {
        "organization_name": "DAVID M. SOLL, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "SOLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-620-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333638",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "719275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "152724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4257304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1991083001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.