Active NPI
Debra Solomon, OD
- Optometrist
- Smithtown, NY
National Provider Identifier
1699906214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TOO5481
- Practice address
- 19 Leslie LN
Smithtown, NY 11787-2318 - Phone
- (516) 371-2807
- Fax
- (516) 371-3645
- NPI assigned
- Jul 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TOO5481 | NY | Primary |
Addresses
Primary practice location
19 Leslie LN
Smithtown, NY 11787-2318
Mailing address
19 Leslie LN
Smithtown, NY 11787-2318
Phone (516) 371-2807
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TOO5481 | NY | MD | Optometrist |
Interoperability endpoints
- debra.solomon.1@15801.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1699906214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LESLIE LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872318",
"telephone_number": "516-371-2807",
"fax_number": "516-371-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 LESLIE LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872318",
"telephone_number": "516-371-2807",
"fax_number": "516-371-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TOO5481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.