Organization Active NPI

Alan R Soll OD PA

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1396887014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TA1093 Issued in MD
Legal business name
ALAN R SOLL OD PA
Practice address
2837 Baneberry CT
Baltimore, MD 21209-3826
Phone
(410) 960-1314
Fax
(443) 378-7457
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Richard Soll, O.D.
Title
Owner
Phone
(410) 960-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X TA1093 MD Primary

Addresses

Primary practice location

2837 Baneberry CT
Baltimore, MD 21209-3826

Mailing address

2837 Baneberry CT
Baltimore, MD 21209-3826
Phone (410) 960-1314

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396887014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 BANEBERRY CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093826",
            "telephone_number": "410-960-1314",
            "fax_number": "443-378-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 BANEBERRY CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093826",
            "telephone_number": "410-960-1314",
            "fax_number": "443-378-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN R SOLL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-960-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "TA1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.