Individual provider Active NPI

David Roy Sollenberger, O.D.

  • Optometrist
  • Lumberton, NJ
National Provider Identifier
1851493456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00562100 Issued in NJ
Practice address
1636 Route 38 Ste 45
Lumberton, NJ 08048-2988
Phone
(609) 267-2728
Fax
(609) 267-0475
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00562100 NJ Primary
Optometrist 152W00000X OEG001590 PA

Addresses

Primary practice location

1636 Route 38 Ste 45
Lumberton, NJ 08048-2988

Mailing address

218 Plymouth PL
Merchantville, NJ 08109-2835
Phone (856) 910-0197

Other identifiers 1

IdentifierTypeStateIssuer
0097934MedicaidNJ

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

LicenseStateTypeSpecialty
27OA00562100NJMDOptometrist
OEG001590PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Vision Optics Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.sollenberger@direct.revolutionehr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851493456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PLYMOUTH PL",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092835",
            "telephone_number": "856-910-0197",
            "fax_number": "856-910-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 ROUTE 38 STE 45",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482988",
            "telephone_number": "609-267-2728",
            "fax_number": "609-267-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLENBERGER",
        "first_name": "DAVID",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00562100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097934",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

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.