Individual provider Active NPI

Ronald David Solomon, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1902865686
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
715 Issued in CO
Practice address
2145 Academy Cir
Colorado Springs, CO 80909-1658
Phone
(719) 574-7000
Fax
(719) 597-1712
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 715 CO Primary

Addresses

Primary practice location

2145 Academy Cir
Colorado Springs, CO 80909-1658

Mailing address

2145 Academy Cir
Colorado Springs, CO 80909-1658
Phone (719) 574-7000

Other identifiers 1

IdentifierTypeStateIssuer
08007155MedicaidCO

Other names 1

  • Ronald D Solomon Professional name

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
715COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Colorado LLC Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1902865686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091658",
            "telephone_number": "719-574-7000",
            "fax_number": "719-597-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091658",
            "telephone_number": "719-574-7000",
            "fax_number": "719-597-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08007155",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "SOLOMON",
            "middle_name": "D",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.