Cedar Crest Vision Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001756 Issued in PA

Legal business name

CEDAR CREST VISION CARE, PC

Practice address

1251 S Cedar Crest Blvd
Suite 101a
Allentown, PA 18103-6205

Phone

(610) 435-5561

Fax

(610) 435-5565

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Kim Solan, OD

Title

Owner

Phone

(610) 435-5561

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley N Bowen, O.D.

  • Optometrist
  • Paxinos, PA
  • NPI 1730443771
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1508902909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 101A",
            "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 101A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-435-5561",
            "fax_number": "610-435-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SOLAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-435-5561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "SO186761",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar Crest Operator LLC
• Cedar Crest Pediatrics
• Cedar Crest Physical Therapy
• Cedar Crest Psychological Counseling, P.C.
• Cedar Crest Surgery Center LLC
• Dinamarca Cedeno
• David A Cederberg, PA
• Robert Cefola, CRNP
• Robert Allen Celani III
• Stephen Cella, M.D.

• Optometrist in Allentown, PA
• Providers in Allentown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.