Organization Active NPI

Debra Beth Solomon OD PC

  • Optometrist
  • Lawrence, NY
National Provider Identifier
1821479197
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005481 Issued in NY
Legal business name
DEBRA BETH SOLOMON OD PC
Practice address
605 Rockaway Tpke
Lawrence, NY 11559-1047
Phone
(516) 371-2807
Fax
(516) 371-2806
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Debra Solomon, OD
Title
OD
Phone
(516) 371-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 005481 NY Primary

Addresses

Primary practice location

605 Rockaway Tpke
Lawrence, NY 11559-1047

Mailing address

19 Leslie LN
Smithtown, NY 11787-2318
Phone (516) 371-2807

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15801/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1821479197",
    "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": "516-371-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ROCKAWAY TPKE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591047",
            "telephone_number": "516-371-2807",
            "fax_number": "516-371-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA BETH SOLOMON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "516-371-2807",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.