Active NPI
Theresa Solaski Daus, OD
- Optometrist
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 005592
- Practice address
- 360 Montauk Hwy
West Islip, NY 11795-4403 - Phone
- (631) 422-1110
- NPI assigned
- Jun 8, 2005
- Last updated
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 005592 | NY | Primary |
| Optometrist | 152W00000X | TA1461 | MD | |
| Optometrist | 152W00000X | 0618002137 | VA |
Addresses
Primary practice location
360 Montauk Hwy
West Islip, NY 11795-4403
Mailing address
360 Montauk Hwy
West Islip, NY 11795-4403
Phone (631) 422-1110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8185-0004 | Other | DC | CAREFIRST |
| 10036579 | Other | MD | MEDICARE RR PIN |
| 54725501 | Other | MD | CAREFIRST |
Other names 1
- Theresa Jean Solaski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005592 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina Braun, M.D., P.C. | Current | Accepting new patients | |
| Medical Surgical Eye Care Services PC | Current | Accepting new patients | |
| Frederick J Sauerburger MD PA | Optometrist | Current | Accepting new patients |
| Medical Surgical Eye Care Services, PC | Optometrist | Past | Accepting new patients |
Locations
11345 Pembrooke Sq
Ste 105
Waldorf, MD 20603
Phone (301) 645-8120
360 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-1110
8101 Hinson Farm Rd
Ste 103
Alexandria, VA 22306
Phone (703) 360-0111
Interoperability endpoints
- tdaus@tceco.intellechartdirect.net
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.
-
dba The Center For Eye Care and Optical
- Ophthalmology Physician
- West Islip, NY
- NPI 1306863097
-
dba The Center For Eye Care and Optical
- Durable Medical Equipment & Medical Supplies
- West Islip, NY
- NPI 1669547097
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1770587727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954403",
"telephone_number": "631-422-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954403",
"telephone_number": "631-422-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUS",
"first_name": "THERESA",
"middle_name": "SOLASKI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "005592",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1461",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002137",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "8185-0004",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PIN",
"identifier": "10036579",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "54725501",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "SOLASKI",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.