Active NPI
Soll Eye PC of PA
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1457406795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SOLL EYE PC OF PA
- Practice address
- 10160 Bustleton Ave
Philadelphia, PA 19116-3749 - Phone
- (215) 934-7655
- Fax
- (215) 934-6278
- NPI assigned
- Jan 25, 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 | OEG001731 | PA | |
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
10160 Bustleton Ave
Philadelphia, PA 19116-3749
Mailing address
5001 Frankford Ave
Philadelphia, PA 19124-2619
Phone (215) 288-5000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0603090004 | Other | PA | DURABLE MEDICAL EQUIPMENT |
| 0009231760014 | Medicaid | PA | |
| 0009231760017 | Medicaid | PA | |
| 16795 | Other | PA | SPECTERA |
| PA10000 | Other | PA | VBA |
| 24609 | Other | PA | SPECTERA DISPENSING |
| 39974 | Other | PA | DAVIS VISION |
Other names 1
- OPTICAL
National Provider Directory
National Provider Directory- Tax ID family
- Optical
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Philadelphia, PA
- NPI 1285710483
-
- Eyewear Supplier
- Philadelphia, PA
- NPI 1669569935
-
- Optometrist
- Penndel, PA
- NPI 1780716126
-
- Eyewear Supplier
- Penndel, PA
- NPI 1780749242
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1942231758
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": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1457406795",
"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": "10160 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163749",
"telephone_number": "215-934-7655",
"fax_number": "215-934-6278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLL EYE PC OF PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001731",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE MEDICAL EQUIPMENT",
"identifier": "0603090004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009231760014",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009231760017",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "16795",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "PA10000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA DISPENSING",
"identifier": "24609",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "39974",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OPTICAL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
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.