Individual provider Active NPI

Solomon Eli Klein, O.D.

  • Optometrist
  • Monroe, NY
National Provider Identifier
1659533594
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007308-1 Issued in NY
Practice address
49 Forest Rd
Monroe, NY 10950-2923
Phone
(845) 782-3242
Fax
(845) 774-1686
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007308-1 NY Primary

Addresses

Primary practice location

49 Forest Rd
Monroe, NY 10950-2923

Mailing address

49 Forest Rd
Vision Department
Monroe, NY 10950-3226
Phone (845) 782-3242

Other names 1

  • Dr. Eli Klein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200106001170 NY Practitioner - Optometry 6507916871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aizer Health , IncGroup PAC ID 6406747989, 46 clinicians

Practice addresses (Care Compare)

49 Forest Rd
Monroe, NY 10950-2923
Phone (845) 782-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007308NYMDMental Health Counselor
TUV007308-1NYMDOptometrist
002770CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Oct 28, 2019 Accepting new patients
Aizer Health , Inc. CurrentSince Oct 28, 2019 Accepting new patients
Carerite LLC Optometrist PastSince Jan 1, 2013 Accepting new patients

Locations

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

48 Bakertown Rd
Monroe, NY 10950
Phone (845) 774-1464

Interoperability endpoints

  • Direct secure messaging: solomon.klein@echc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1659533594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FOREST RD",
            "address_2": "VISION DEPARTMENT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503226",
            "telephone_number": "845-782-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FOREST RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502923",
            "telephone_number": "845-782-3242",
            "fax_number": "845-774-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "SOLOMON",
        "middle_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007308-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELI",
            "last_name": "KLEIN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.