Active NPI
Jonathan Kim Solan, O.D.
- Occupational Vision Optometrist
- Allentown, PA
National Provider Identifier
1407814361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- OE0058641
- Practice address
- 1251 S Cedar Crest Blvd
Suite 101 a
Allentown, PA 18103-6205 - Phone
- (610) 435-5561
- Fax
- (610) 435-5565
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | OE0058641 | PA | Primary |
Addresses
Primary practice location
1251 S Cedar Crest Blvd
Suite 101 a
Allentown, PA 18103-6205
Mailing address
1251 S Cedar Crest Blvd
Suite 101 a
Allentown, PA 18103-6205
Phone (610) 435-5561
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 397008 | Other | PA | NVA |
| SO186761 | Other | PA | MEDICARE PROVIDER NUMBER |
| SO186761 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100519000863 | PA | Practitioner - Optometry | 2062541667 | |
| I20220401000395 | VA | Practitioner - Optometry | 2062541667 | Practice locations: Timberville, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
375 S Main St
Timberville, VA 22853-9522
Phone (540) 704-7130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE0058641 | PA | MD | Occupational Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare of the Valley P.C. | Occupational Vision | Past | Accepting new patients |
Organizations & group practices 1
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": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1407814361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD",
"address_2": "SUITE 101 A",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036205",
"telephone_number": "610-435-5561",
"fax_number": "610-435-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD",
"address_2": "SUITE 101 A",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036205",
"telephone_number": "610-435-5561",
"fax_number": "610-435-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLAN",
"first_name": "JONATHAN",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "PA",
"license": "OE0058641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "397008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "SO186761",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "SO186761",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.