Active NPI
Jorge Luis Solorzano, O.D.
- Optometrist
- Ada, OK
National Provider Identifier
1952304586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2432
- Practice address
- 1414 Arlington St
Ste 1400
Ada, OK 74820-2643 - Phone
- (580) 332-1880
- Fax
- (580) 332-2214
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 2432 | OK | Primary |
Addresses
Primary practice location
1414 Arlington St
Ste 1400
Ada, OK 74820-2643
Mailing address
1414 Arlington St
Ste 1400
Ada, OK 74820-2643
Phone (580) 332-1880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2324338 | Other | OK | UNITED HEALTHCARE |
| 7200451 | Other | OK | AETNA |
| 200061320A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050721000142 | OK | Practitioner - Optometry | 2860381316 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2224 W Main St
Norman, OK 73069-6462
Phone (405) 360-2822
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2432 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates of South Tulsa PC | Optometrist | Current | Accepting new patients |
| Eye Medical Group, PLLC | Optometrist | Current | Accepting new patients |
| Coastal Eye Specialists Medical Group Inc | Optometrist | Past | Accepting new patients |
| Eye Associates of Oklahoma PLLC | Optometrist | Past | Accepting new patients |
Locations
2224 W Main St
Norman, OK 73069
Phone (405) 360-2322
10010 E 81st St
Ste 100
Tulsa, OK 74133
Phone (918) 250-2020
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1750475760
OK, Optometrist
-
- Ophthalmology Physician
- Oklahoma City, OK
- NPI 1588685622
Optometrist
-
- Optometrist
- Oxnard, CA
- NPI 1891873139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1952304586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 ARLINGTON ST",
"address_2": "STE 1400",
"city": "ADA",
"state": "OK",
"postal_code": "748202643",
"telephone_number": "580-332-1880",
"fax_number": "580-332-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 ARLINGTON ST",
"address_2": "STE 1400",
"city": "ADA",
"state": "OK",
"postal_code": "748202643",
"telephone_number": "580-332-1880",
"fax_number": "580-332-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLORZANO",
"first_name": "JORGE",
"middle_name": "LUIS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2324338",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7200451",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200061320A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
- Sherry L. Snider
- Christie Snow, M.D.
- Social Services Foundation of Southern Oklahoma, Inc.
- Social Services Foundation of Southern Oklahoma, Inc.
- Ronda Sockey
- Laura K Soper, P.A.
- South Central Oklahoma Radiology PLLC
- Southeast Oklahoma Oral & Maxillofacial Surgery, PC
- Southeastern Oklahoma Family Services, Inc.
- Southeastern Oklahoma Neurosciences
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.