Individual provider Active NPI

Kevin Solis, O.D.

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1538362116
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10420T Issued in CA
Practice address
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Phone
(760) 631-3500
NPI assigned
Jun 9, 2007
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10420T CA Primary

Addresses

Primary practice location

477 N El Camino Real Ste C202
Encinitas, CA 92024-1332

Mailing address

10275 Winecreek CT
San Diego, CA 92127-3728
Phone (619) 368-2336

Other practice location 1

895 E H St
Chula Vista, CA 91910-7807
Phone (619) 397-7955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202002786 CA Practitioner - Optometry 2062884927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric M White OD IncGroup PAC ID 0244208320, 2 clinicians

Practice addresses (Care Compare)

5075 Ruffin Rd
Suite B
San Diego, CA 92123-1698
Phone (858) 278-4720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10420TCAMDOptometrist
10420CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle King OD Inc a Professional Corporation Optometrist CurrentSince Sep 13, 2024 Accepting new patients
Eric M. White OD, Inc CurrentSince Sep 13, 2024 Accepting new patients
Total Vision PC Optometrist PastSince Nov 16, 2023 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist Past Accepting new patients

Locations

2907 Jamacha Rd
#A
El Cajon, CA 92019
Phone (619) 660-0272

14757 Pomerado Rd
Poway, CA 92064
Phone (858) 842-3006

5075 Ruffin Rd
Ste B
San Diego, CA 92123
Phone (858) 274-9464

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1538362116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 WINECREEK CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273728",
            "telephone_number": "619-368-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241332",
            "telephone_number": "760-631-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 E H St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919107807",
            "country_code": "US",
            "telephone_number": "619-397-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10420T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.