Individual provider Active NPI

Diane Beth Solasz, O.D.

  • Optometrist
  • Albertson, NY
National Provider Identifier
1629123476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4605 Issued in NY
Practice address
1016 Willis Ave
Albertson, NY 11507-1331
Phone
(516) 484-7200
Fax
(516) 484-4532
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4605 NY Primary

Addresses

Primary practice location

1016 Willis Ave
Albertson, NY 11507-1331

Mailing address

1016 Willis Ave
Albertson, NY 11507-1331
Phone (516) 484-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4605NYMDOptometrist
004605NYMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629123476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071331",
            "telephone_number": "516-484-7200",
            "fax_number": "516-484-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071331",
            "telephone_number": "516-484-7200",
            "fax_number": "516-484-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLASZ",
        "first_name": "DIANE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.